Provider Demographics
NPI:1962433433
Name:O'NEILL, JAMES FLEMISTER JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FLEMISTER
Last Name:O'NEILL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 12257
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33733-2257
Mailing Address - Country:US
Mailing Address - Phone:727-322-6006
Mailing Address - Fax:727-322-6008
Practice Address - Street 1:5225 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-8141
Practice Address - Country:US
Practice Address - Phone:727-322-6006
Practice Address - Fax:727-322-6008
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 45128207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62536OtherBLUE CROSS BS GROUP #
FLC85803Medicare UPIN
FL62536YMedicare ID - Type Unspecified