Individual
ONEIL MCEWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4022 SW BAMBERG STREET, PORT SAINT LUCIE, FL 34953
(954) 496-3124
Mailing address
4022 SW BAMBERG ST, PORT SAINT LUCIE, FL 34953-7029
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12995
FL
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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