Individual
MARCOS RAFAEL OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
11488 SW 242ND ST, HOMESTEAD, FL 33032-3110
(305) 304-3639
Mailing address
350 S MIAMI AVE APT 2209, MIAMI, FL 33130-1925
(305) 304-3639
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ARNP-9426020
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
9426020
FL
Other
Enumeration date
10/10/2018
Last updated
12/29/2022
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