Organization
OLIVE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YVETTE GUZMAN APRN (OWNER)
(813) 389-9474
Entity
Organization
Contact information
Practice address
4912 W TRAPNELL RD, PLANT CITY, FL 33566-0128
(813) 417-4767
Mailing address
4912 W TRAPNELL RD, PLANT CITY, FL 33566-0128
(813) 417-4767
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
08/30/2023
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