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Individual

JOE A OLIVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9430 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-8015
(407) 354-1202
(407) 351-8801
Mailing address
9430 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-8015
(407) 354-1202
(407) 351-8801

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2008035007
MO
208600000X
Surgery Physician
E11250
AR
208600000X
Surgery Physician
Primary
ME152122
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111433200
FL
05
200057404
MO
Enumeration date
09/24/2006
Last updated
04/09/2024
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