Individual
DR. JEFFREY CHARLES OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10731 HALFMOON SHOAL RD APT 103, BONITA SPRINGS, FL 34135-1753
(800) 224-0859
Mailing address
10731 HALFMOON SHOAL RD APT 103, BONITA SPRINGS, FL 34135-1753
(800) 224-0859
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS7357
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251761200
—
FL
01
—
57464
BCBS
FL
Enumeration date
12/05/2005
Last updated
07/08/2007
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