Individual
MICHAEL RAY OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1301 PALM AVE STE 100, JACKSONVILLE, FL 32207-8457
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
ME104231
FL
2085R0001X
Radiation Oncology Physician
A93245
CA
2085R0001X
Radiation Oncology Physician
Primary
ME104231
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001151700
—
FL
01
—
P01330980
RR MEDICARE
FL
Enumeration date
09/18/2007
Last updated
01/16/2026
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