Individual
DR. WILLIAM T. O'BRIEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 842-8475
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
34.012588
OH
2085P0229X
Pediatric Radiology Physician
34.012588
OH
2085R0202X
Diagnostic Radiology Physician
34.012588
OH
2085R0202X
Diagnostic Radiology Physician
9181
CA
2085R0202X
Diagnostic Radiology Physician
Primary
OS18400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113224700
—
FL
01
—
C33FE
BCBS
FL
01
—
PF372
MEDICARE PTAN OHRI
FL
01
—
PS818
MEDICARE PTAN OHMG
FL
Enumeration date
09/21/2006
Last updated
03/30/2023
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