Individual
GREGORY OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
(305) 535-7953
Mailing address
4300 ALTON RD, MIAMI BEACH, FL 33140-2948
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
79974
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2022
Last updated
05/27/2025
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