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NPI Code Detail

MEDICARE: ROBERT B ONEILL M.D.

MEDICARE: ROBERT B ONEILL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistME0063187FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1214707OTHERFLAVMED PROVIDER NUMBER
23918397003OTHERFLCIGNA
35911195OTHERFLAETNA PPO PROVIDER NUMBER
4005596OTHERFLNEIGHBORHOOD
5205469OTHERFLAMERIGROUP
62325470OTHERFLAETNA HMO PROVIDER NUMBER
725718OTHERFLBC/BS OF HEALTH OPTIONS
8107399OTHERFLHUMANA
919958OTHERFLVISTA OF SOUTH FLORIDA

General Provider Information

NPI Number : 1205810439
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT B ONEILL M.D.
Provider Business Mailing Address
First Line : 1150 DOVE AVE
Second Line :
City : MIAMI SPRINGS
State : FL
Zip : 33166-3102
Country : US
Telephone Number : 305-887-3531
Fax Number :
Provider Business Practice Location Address
First Line : 7150 W 20TH AVE
Second Line : STE 612
City : HIALEAH
State : FL
Zip : 33016-5529
Country : US
Telephone Number : 305-827-1561
Fax Number : 305-702-9662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 07/08/2007

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