Basic Information
Provider Information
NPI: 1144467531
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ONEA
FirstName: MIRELA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MECA
OtherFirstName: MIRELA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 2410 NORTHSIDE DR
Address2:  
City: CLEARWATER
State: FL
PostalCode: 337612236
CountryCode: US
TelephoneNumber: 7274990353
FaxNumber: 7277813312
Practice Location
Address1: 34041 US HIGHWAY 19 N STE A
Address2:  
City: PALM HARBOR
State: FL
PostalCode: 346842648
CountryCode: US
TelephoneNumber: 7277860017
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/07/2009
LastUpdateDate: 01/19/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0301030NYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RG0100X4301093619MIY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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