Individual
PEDRO T. OLIVEROS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
341 N. MAITLAND AVENUE, SUITE 200, MAITLAND, FL 32751-4761
(407) 265-2100
(407) 265-2872
Mailing address
341 N. MAITLAND AVENUE, SUITE 200, MAITLAND, FL 32751-4761
(407) 265-2100
(407) 265-2872
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME76859
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME 76859
FL
225100000X
Physical Therapist
PT4493
FL
Other
Enumeration date
09/25/2006
Last updated
10/02/2008
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