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Organization
JAY E. OLSSON, D.O., P.A.
Active
Organization
JAY E. OLSSON, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY EDWARD OLSSON D.O. (MEDICAL DIRECTOR)
(321) 242-9031
Entity
Organization
Contact information
Practice address
401 N WICKHAM RD, SUITE S, MELBOURNE, FL 32935-8659
(321) 242-9031
(321) 242-9035
Mailing address
401 N WICKHAM RD, SUITE S, MELBOURNE, FL 32935-8659
(321) 242-9031
(321) 242-9035
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS0004087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K5335
MEDICARE ID
FL
Enumeration date
07/23/2006
Last updated
04/09/2015
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