Individual
LUIS JAVIER OLIVERA-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
6001 VINELAND RD STE 109, ORLANDO, FL 32819-7829
(407) 930-6684
(949) 404-8433
Mailing address
6001 VINELAND RD STE 109, ORLANDO, FL 32819-7829
(407) 930-6684
(949) 404-8433
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
19342
PR
2084P0800X
Psychiatry Physician
Primary
ME129300
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018302900
—
FL
Enumeration date
07/11/2012
Last updated
06/11/2022
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