Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | PO4043 | FL |
N | 213ES0103X | Foot & Ankle Surgery | 0116029554 | VA |
N | 213ES0103X | Foot & Ankle Surgery | PO4043 | FL |
NPI | 1225580178 |
---|---|
Provider Name | Dr. Erin O'neill |
First Address | Orlando, FL 32801-1211 |
Second Address | Orlando, FL 32801-1211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2016 |
Last Update Date | 12/10/2020 |