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Organization

L.A. OLIVERIO,MD ENTERPRISES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
L. A. OLIVERIO M.D. (PRESIDENT/SECRETARY AND DIRECTOR)
(352) 489-2401
Entity
Organization

Contact information

Practice address
20661 NED LOVE AVE, DUNNELLON, FL 34431-6767
(352) 489-2401
(352) 489-2521
Mailing address
20661 NED LOVE AVE, DUNNELLON, FL 34431-6767
(352) 489-2401
(352) 489-2521

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME47193
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
063686000
FL
Enumeration date
04/26/2010
Last updated
04/26/2010
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