Organization
OLIVE BRANCH HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE VITAL-HERNE APRN (CEO)
(813) 679-5413
Entity
Organization
Contact information
Practice address
3018 N US HIGHWAY 301 STE 200, TAMPA, FL 33619-2271
(813) 679-5413
Mailing address
3018 N US HIGHWAY 301 STE 200, TAMPA, FL 33619-2271
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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