Individual
DR. OLIVER K SEVILLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 N SHOCKLEY LOOP, CRYSTAL RIVER, FL 34429-7816
(352) 795-1999
(352) 795-2269
Mailing address
1550 N SHOCKLEY LOOP, CRYSTAL RIVER, FL 34429-7816
(352) 795-1999
(352) 795-2269
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME93238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273355200
—
FL
01
—
29949
BLUE CROSS BLUE SHIELD FL
FL
01
—
P00258965
RAILROAD MEDICARE
FL
Enumeration date
02/16/2006
Last updated
03/25/2026
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