Individual
DR. DANA MARIE OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 385-3032
(352) 742-3581
Mailing address
PO BOX 21991, BELFAST, ME 04915-4116
(386) 231-3249
(386) 672-9904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS15341
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100372400
—
FL
Enumeration date
04/22/2015
Last updated
05/09/2022
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