O'Neill, Destiny Sue

O'Neill, Destiny Sue is an individual health care provider with primary practice located at 455 Pinellas St Ste 320 , Clearwater FL 33756-3369. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. O'Neill, Destiny Sue can be contacted via phone (727) 446-2273.

Contact Information

Primary practice address
455 Pinellas St Ste 320 Clearwater FL 33756-3369
Phone: (727) 446-2273
Fax: (727) 441-4966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9104018 Florida

Profile Details

NPI number 1225393218
LBN Legal business name O'Neill, Destiny Sue
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2012
Last updated Apr 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225393218 NPPES
Florida MEDICAID 110868700

Popular Providers