Individual
JOHN C OFENLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 PINELLAS ST, SUITE 320, CLEARWATER, FL 33756-3369
(727) 446-2273
(727) 441-4966
Mailing address
455 PINELLAS ST STE 320, CLEARWATER, FL 33756-3369
(727) 446-2273
(727) 462-7261
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME85019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134223953
HUMANA
FL
01
—
17542
BCBS
FL
01
—
201547
STAYWELL
FL
01
—
2212593
UNITED
FL
05
—
265395800
—
FL
01
—
284517
AVMED
FL
01
—
3163130
CIGNA
FL
01
—
7332384
AETNA
FL
Enumeration date
02/16/2006
Last updated
07/12/2022
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