Individual
GREG OLAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3050
(321) 841-3049
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-3050
(321) 841-3049
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME88016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010394700
—
FL
01
—
ME88016
MEDICAL LICENSE
FL
Enumeration date
09/21/2005
Last updated
11/10/2016
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