# OLIVA & OLIVA MDS PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OLIVA & OLIVA MDS PA
- **Other names:** TAMPA BAY DIAGNOSTIC CLINIC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760666796
- **Legal business name:** OLIVA & OLIVA MDS PA
- **Authorized official:** DR. ROBERT J OLIVA MD (PRESIDENT)
- **Authorized official phone:** (813) 689-2853

## Contact information

- **Practice address:** 1439 OAKFIELD DR, BRANDON, FL 33511-2801
- **Practice address phone:** (813) 689-2853
- **Practice address fax:** (813) 654-1722
- **Mailing address:** 1439 OAKFIELD DR, BRANDON, FL 33511-2801
- **Mailing address phone:** (813) 689-2853
- **Mailing address fax:** (813) 654-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | ME0036108 | FL | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 12/27/2007