Organization
JAMES A HALEY VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANA-MARIA OLIVA MD (MD)
(813) 294-2660
Entity
Organization
Contact information
Practice address
13000 BRUCE B DOWNS BLVD # VA, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
3025 W GROVEWOOD CT APT E, TAMPA, FL 33629-8895
(813) 294-2660
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ME100414
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME100414
FLORIDA MEDICAL LICENSE
FL
Enumeration date
06/09/2008
Last updated
06/09/2008
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