Basic Information
| Provider Information | |||||||||
| NPI: | 1538472212 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GERALD J OCONNOR MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1411 N FLAGLER DR | ||||||||
| Address2: | SUITE 6200 | ||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334013404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616591238 | ||||||||
| FaxNumber: | 5616590492 | ||||||||
| Practice Location | |||||||||
| Address1: | 1411 N FLAGLER DR | ||||||||
| Address2: | SUITE 6200 | ||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334013404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616591238 | ||||||||
| FaxNumber: | 5616590492 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/22/2010 | ||||||||
| LastUpdateDate: | 07/22/2010 | ||||||||
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| AuthorizedOfficialLastName: | OCONNOR | ||||||||
| AuthorizedOfficialFirstName: | GERALD | ||||||||
| AuthorizedOfficialMiddleName: | JAMES | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 5616591238 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | ME31871 | FL | Y | 193200000X MULTI-SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.