Doctor Name: | JOSLYN O'CONNOR-BEAR |
NPI Number: | 1093006140 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9268119 |
Business Practice Address: | 725 Rodel Cv Lake Mary, FL - 327464859 |
Business Phone Number: | 4073023119 |
Business Fax Number: | 4073027038 |
Mailing Address: | Po Box 522468, LONGWOOD |
State: | FL |
Postal Code: | 327522468 |
Phone Number: | 4072625710 |
Fax Number: | 4073895319 |
NPI Enumeration Date: | 04/25/2011 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP9268119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |