Organization
LISA O'NEILL, LLC
Active
Parent organization
THE MOM NP
Other names
The Mom NP
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MOM NP
Authorized official
LISA E O'NEILL APRN (OWNER)
(850) 990-0636
Entity
Organization
Contact information
Practice address
327 S COUNTY HIGHWAY 393 UNIT 201D, SANTA ROSA BEACH, FL 32459-8209
(850) 990-0636
Mailing address
327 S COUNTY HIGHWAY 393 UNIT 201D, SANTA ROSA BEACH, FL 32459-8209
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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