Individual
DR. ANDREW W O'LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3343 STATE ROAD 7, WELLINGTON, FL 33449-8002
(561) 795-9845
(561) 795-8791
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
28120
MS
2085R0001X
Radiation Oncology Physician
34006642
OH
2085R0001X
Radiation Oncology Physician
Primary
OS8188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016656600
—
FL
05
—
0207207
—
OH
01
—
1242207
WELLCARE MEDICARE ONLY
FL
01
—
14361
DIMENSION
FL
01
—
272245
AVMED
FL
05
—
2797880
—
OH
01
—
51677
BCBS
FL
01
—
7841172
AETNA
FL
01
—
P01560759
RR MEDICARE
FL
01
—
P1034697
FREEDOM
FL
01
—
P970567
OPTIMUM
FL
Enumeration date
05/23/2006
Last updated
10/08/2020
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