Individual
IVAN OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7501 WILES RD STE 202, CORAL SPRINGS, FL 33067-2079
(954) 346-8300
Mailing address
9894 NW 82ND AVE APT 303, HIALEAH GARDENS, FL 33016-2531
(561) 319-1847
(786) 610-1180
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363LF0000X
Family Nurse Practitioner
11008837
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11008837
FL
Other
Enumeration date
10/02/2012
Last updated
03/28/2025
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