Individual
BEN OLWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8515 N MITCHELL AVE, TAMPA, FL 33604-1658
(813) 307-8015
(813) 276-2999
Mailing address
1105 E KENNEDY BLVD, TAMPA, FL 33602-3511
(813) 307-8015
(813) 276-2999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9100268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9100268
MEDCIAL LICENSE
FL
Enumeration date
09/08/2009
Last updated
03/05/2015
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