Individual
KIRSTEN O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 ATLANTIC AVE, SUITE D, FERNANDINA BEACH, FL 32034-3650
(904) 322-8047
(866) 552-5911
Mailing address
1001 ATLANTIC AVE, SUITE D, FERNANDINA BEACH, FL 32034-3650
(904) 322-8047
(904) 329-4637
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME64122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2643553-00
—
FL
05
—
340809501A
—
GA
Enumeration date
04/03/2007
Last updated
12/05/2014
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