Individual
MICHAEL O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8201 BARDMOOR PL APT 203D, SEMINOLE, FL 33777-1327
(727) 599-3166
Mailing address
8201 BARDMOOR PL APT 203D, SEMINOLE, FL 33777-1327
(727) 599-3166
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/19/2020
Last updated
01/19/2020
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