# PEDRO T OLIVEROS JR MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578784617
- **Authorized official:** PEDRO T. OLIVEROS JR. M.D. (PRESIDENT)
- **Authorized official phone:** (407) 265-2100

## Contact information

- **Practice address:** 341 N MAITLAND AVE, SUITE 200, MAITLAND, FL 32751-4783
- **Practice address phone:** (407) 265-2100
- **Practice address fax:** (407) 265-2872
- **Mailing address:** 341 N MAITLAND AVE, SUITE 200, MAITLAND, FL 32751-4783
- **Mailing address phone:** (407) 265-2100
- **Mailing address fax:** (407) 265-2872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 11/04/2009