Provider Demographics
NPI:1326340167
Name:O'LEARY, PAUL ADAM (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ADAM
Last Name:O'LEARY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 SAVOIE DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-1606
Mailing Address - Country:US
Mailing Address - Phone:561-758-4811
Mailing Address - Fax:
Practice Address - Street 1:4520 DONALD ROSS RD STE 115
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-5105
Practice Address - Country:US
Practice Address - Phone:561-804-7786
Practice Address - Fax:561-804-7787
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10128111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation