Individual
MARIO C OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1565 STATE ST, SARASOTA, FL 34236-5808
(941) 927-8900
Mailing address
1565 STATE ST, SARASOTA, FL 34236-5808
(941) 927-8900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME107459
FL
Other
Enumeration date
02/05/2007
Last updated
02/04/2015
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