Individual
BARBARA O'REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., P.A.
Contact information
Practice address
1370 13TH AVE S, STE. 216, JACKSONVILLE BEACH, FL 32250-3230
(904) 246-8480
(904) 246-8578
Mailing address
1370 13TH AVE S, STE. 216, JACKSONVILLE BEACH, FL 32250-3230
(904) 246-8480
(904) 246-8578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME55120
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05715
05715
FL
01
—
0890743012
CIGNA PAL ID
FL
01
—
15099
BCBS PROVIDER ID
FL
01
—
2038410
AETNA PROVIDER ID
FL
05
—
271318700
—
FL
Enumeration date
08/24/2006
Last updated
01/06/2011
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