Provider Demographics
NPI:1700074432
Name:ONEAL, HENRY J (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:J
Last Name:ONEAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13701 BRUCE B DOWNS BLVD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-4647
Mailing Address - Country:US
Mailing Address - Phone:813-971-2351
Mailing Address - Fax:813-971-1636
Practice Address - Street 1:13701 BRUCE B DOWNS BLVD
Practice Address - Street 2:SUITE 113
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4647
Practice Address - Country:US
Practice Address - Phone:813-971-2351
Practice Address - Fax:813-971-1636
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2014-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME46531207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46338OtherBC/BS OF FLORIDA
FL110231984OtherRAILROAD MEDICARE
FL2129500OtherUNITED HEALTHCARE
FL256846200Medicaid
FL7411273OtherAETNA
FL46338OtherBC/BS OF FLORIDA
FL7411273OtherAETNA