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Organization
WILLIAM A OLIVOS OD PA
Active
Organization
WILLIAM A OLIVOS OD PA
Active
Other names
Advanced Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A OLIVOS OD (OWNER)
(772) 460-8487
Entity
Organization
Contact information
Practice address
2710 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953-2849
(772) 460-8487
(772) 460-0225
Mailing address
2710 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34953-2849
(772) 460-8487
(772) 460-0225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002946001
—
FL
Enumeration date
07/22/2021
Last updated
07/23/2021
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