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Individual

DR. STEPHEN E OLVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1475 NW 12TH AVE, BOX 016960 ( M851), MIAMI, FL 33136-1002
(305) 243-4058
(305) 243-8470
Mailing address
1475 NW 12TH AVE, BOX 016960 ( M851), MIAMI, FL 33136-1002
(305) 243-4058
(305) 243-8470

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
ME69107
FL
2084A2900X
Neurocritical Care Physician
Primary
ME69107
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0566420-00
FL
Enumeration date
07/09/2006
Last updated
02/10/2020
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