Provider Demographics
NPI:1467590307
Name:O'NEILL, HALINA H (PHYSICIAN)
Entity Type:Individual
Prefix:DR
First Name:HALINA
Middle Name:H
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:PHYSICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10606 SAINT THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-4518
Mailing Address - Country:US
Mailing Address - Phone:561-852-8219
Mailing Address - Fax:
Practice Address - Street 1:299 CAMINO GARDENS BLVD
Practice Address - Street 2:SUITE 103A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-5822
Practice Address - Country:US
Practice Address - Phone:561-416-9420
Practice Address - Fax:561-416-9421
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 1784171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist