Individual
CARL O OLLIVIERRE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 NORTH BLVD W, SUITE C, LEESBURG, FL 34748-5063
(352) 728-3000
(352) 787-6890
Mailing address
600 NORTH BLVD W, SUITE C, LEESBURG, FL 34748-5063
(352) 728-3000
(352) 787-6890
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0062348
FL
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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