Individual
DR. MARIA M OLMEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1542 KINGSLEY AVE, SUITE 140, ORANGE PARK, FL 32073-4586
(904) 579-3189
(904) 458-4054
Mailing address
1542 KINGSLEY AVE, SUITE 140, ORANGE PARK, FL 32073-4586
(904) 579-3189
(904) 458-4054
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2001-275
NM
207RG0100X
Gastroenterology Physician
200401107
NC
207RG0100X
Gastroenterology Physician
Primary
ME122386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G262
—
NM
05
—
014961100
—
FL
01
—
1374H
BLUE CROSS BLUE SHEILD
NC
01
—
839467
AHCCCS
AZ
05
—
891374H
—
NC
Enumeration date
10/03/2006
Last updated
11/08/2016
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