Individual
ADA OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13301 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3807
(813) 974-4602
Mailing address
701 S HOWARD AVE # 234, TAMPA, FL 33606-2473
(813) 415-8476
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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