Lisa O'neill, LLC

NPI #1689475451 in Santa Rosa Beach, Florida

Provider Information

NPI Number: 1689475451
Entity Type: Organization
Organization Name: Lisa O'neill, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: THE MOM NP
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Mar 19, 2025
Last Updated: Mar 19, 2025

Practice Location

Address: 327 S COUNTY HIGHWAY 393 UNIT 201D
City: Santa Rosa Beach
State: Florida
ZIP Code: 32459-8209
Phone: (850) 990-0636

Authorized Official

Name: LISA E O'NEILL, APRN
Title: OWNER
Phone: (850) 990-0636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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