Individual
DR. CECILIA C. OLAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 PROFESSIONAL DR, PONTE VEDRA, FL 32082-6216
(904) 285-1113
(904) 285-3110
Mailing address
130 PROFESSIONAL DR, PONTE VEDRA, FL 32082-6216
(904) 285-1113
(904) 285-3110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
51858
FL
Other
Enumeration date
07/05/2005
Last updated
01/12/2011
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