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Organization

CENTER FOR FAMILY HEALTH WELLNESS AND PREVENTION P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL ONEAL DO (MEDICAL DOCTOR)
(424) 784-8829
Entity
Organization

Contact information

Practice address
3165 N MCMULLEN BOOTH RD, SUITE C1, CLEARWATER, FL 33761-2032
(727) 784-8829
(727) 784-7718
Mailing address
3165 N MCMULLEN BOOTH RD, SUITE C1, CLEARWATER, FL 33761-2032
(727) 784-8829
(727) 784-7718

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2900304
AETNA
FL
01
80189941
MEDICARE RAIL ROAD
FL
Enumeration date
02/20/2008
Last updated
07/15/2010
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