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Organization
L.A. OLIVERIO,MD ENTERPRISES, INC.
Active
Organization
L.A. OLIVERIO,MD ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
L. A. OLIVERIO M.D. (PRESIDENT/SECRETARY AND DIRECTOR)
(352) 489-2401
Entity
Organization
Contact information
Practice address
20661 NED LOVE AVE, DUNNELLON, FL 34431-6767
(352) 489-2401
(352) 489-2521
Mailing address
20661 NED LOVE AVE, DUNNELLON, FL 34431-6767
(352) 489-2401
(352) 489-2521
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME47193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063686000
—
FL
Enumeration date
04/26/2010
Last updated
04/26/2010
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