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Organization

PEDIATRIC &ADOLESCENT MEDICINE

Active
Other names
Pediatric &Adolescent Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT BELLAMINE O'NEILL M.D. (DOCTOR)
(305) 827-1561
Entity
Organization

Contact information

Practice address
7150 W 20TH AVE STE 612, HIALEAH, FL 33016-5534
(305) 827-1561
Mailing address
7150 W 20TH AVE STE 612, HIALEAH, FL 33016-5534
(305) 827-1561

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
ME0063187
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372063200
FL
Enumeration date
02/12/2015
Last updated
02/12/2015
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