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Individual

DR. JOSE E OLIVELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2815 SOUTH SEACREST BLVD, BOYNTON BEACH, FL 33435
(561) 737-7733
Mailing address
2112 SOUTH CONGRESS AVE, SUITE 205, WEST PALM BEACH, FL 33406
(561) 988-4066

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35903
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054656900
FL
Enumeration date
11/28/2005
Last updated
03/02/2015
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