Healthcare Provider Details

I. General information

NPI: 1033225065
Provider Name (Legal Business Name): PATRICIA LOU O'NEIL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 06/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW ARCHER RD
GAINESVILLE FL
32608-1135
US

IV. Provider business mailing address

PO BOX 530
NEWBERRY FL
32669-0530
US

V. Phone/Fax

Practice location:
  • Phone: 352-472-7654
  • Fax:
Mailing address:
  • Phone: 352-472-7654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberARNP9179341
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: