Individual
DR. RAUL OLIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2590 HEALING WAY STE 210, WESLEY CHAPEL, FL 33543-5497
(813) 782-5801
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME110197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004274900
—
FL
01
—
14FX2
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/12/2008
Last updated
12/14/2022
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