Individual
JOHANEXIS O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N CENTRAL AVE STE 110, KISSIMMEE, FL 34741-4439
(407) 201-7429
Mailing address
2953 CLIPPER COVE LN APT 201, KISSIMMEE, FL 34741-0868
(786) 575-6182
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI2385
FL
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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