Provider Demographics
NPI:1710186267
Name:O'HARA, DONNA JEAN (ARNP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:JEAN
Last Name:O'HARA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1638 LEESBURG BLVD
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:34731-5215
Mailing Address - Country:US
Mailing Address - Phone:352-326-4269
Mailing Address - Fax:352-326-9266
Practice Address - Street 1:1638 LEESBURG BLVD
Practice Address - Street 2:
Practice Address - City:FRUITLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:34731-5215
Practice Address - Country:US
Practice Address - Phone:352-326-4269
Practice Address - Fax:352-326-9266
Is Sole Proprietor?:No
Enumeration Date:2007-07-15
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2152202363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1801183397OtherNPI FOR LEVANTE MEDICAL LLC OWNED/OPERATED SOLELY BY DONNA O'HARA, ARNP