Provider Demographics
NPI:1902530421
Name:ONIEHEALTH PLLC
Entity Type:Organization
Organization Name:ONIEHEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ONERCY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:APRN
Authorized Official - Phone:386-681-8500
Mailing Address - Street 1:301 RODEO RD
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-7941
Mailing Address - Country:US
Mailing Address - Phone:386-681-8500
Mailing Address - Fax:
Practice Address - Street 1:21 OLD KINGS RD N STE 108
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-8254
Practice Address - Country:US
Practice Address - Phone:386-681-8500
Practice Address - Fax:386-275-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty