Individual
ANTHONY B OLIVERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
912 NE 5TH ST, CRYSTAL RIVER, FL 34429-4444
(352) 563-5055
(352) 563-5069
Mailing address
912 NE 5TH ST, CRYSTAL RIVER, FL 34429-4444
(352) 563-5055
(352) 563-5069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH0007559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350043972
RAILROAD MEDICARE
FL
05
—
381129800
—
FL
01
—
55797
BLUE CROSS/ BLUE SHIELD
FL
Enumeration date
07/24/2006
Last updated
09/15/2011
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