Individual
MR. JEVON M OLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1916 NW 84TH AVE, DORAL, FL 33126-1030
(305) 828-5310
Mailing address
4110 NE 26TH ST, HOMESTEAD, FL 33033-5156
(786) 768-1837
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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