Provider Demographics
NPI:1376198580
Name:ONEILL, LUANIS SARAHI (DC)
Entity Type:Individual
Prefix:DR
First Name:LUANIS
Middle Name:SARAHI
Last Name:ONEILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 COURT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-5512
Mailing Address - Country:US
Mailing Address - Phone:727-223-9970
Mailing Address - Fax:
Practice Address - Street 1:635 COURT ST STE 200
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-5512
Practice Address - Country:US
Practice Address - Phone:727-223-9970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL12886111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor