Provider Demographics
NPI:1437103363
Name:OAKENELL, LOUISA A (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUISA
Middle Name:A
Last Name:OAKENELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LOUISA
Other - Middle Name:ANNE
Other - Last Name:OAKENELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8213 SURF DR
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32408-4770
Mailing Address - Country:US
Mailing Address - Phone:702-217-7709
Mailing Address - Fax:
Practice Address - Street 1:1500 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6504
Practice Address - Country:US
Practice Address - Phone:352-351-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34823207P00000X
FLME106140207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ053633Medicaid
F93924Medicare UPIN