Organization
OLIVA & OLIVA MDS PA
Active
Parent organization
OLIVA & OLIVA MDS PA
Other names
TAMPA BAY DIAGNOSTIC CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OLIVA & OLIVA MDS PA
Authorized official
DR. ROBERT J OLIVA MD (PRESIDENT)
(813) 689-2853
Entity
Organization
Contact information
Practice address
1439 OAKFIELD DR, BRANDON, FL 33511-2801
(813) 689-2853
(813) 654-1722
Mailing address
1439 OAKFIELD DR, BRANDON, FL 33511-2801
(813) 689-2853
(813) 654-1722
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
ME0036108
FL
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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