Blesilda H Olfato, P A | |
4544 Shadowleaf Dr Sarasota FL 34233-2278 | |
(813) 754-7756 | |
(813) 754-7565 |
Full Name | Blesilda H Olfato, P A |
---|---|
Speciality | Internal Medicine |
Location | 4544 Shadowleaf Dr, Sarasota, Florida |
Authorized Official Name and Position | Blesilda H Olfato (PROVIDER) |
Authorized Official Contact | 9419278213 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Blesilda H Olfato, P A 4544 Shadow Leaf Dr Sarasota FL 34233 Ph: (813) 754-7756 | Blesilda H Olfato, P A 4544 Shadowleaf Dr Sarasota FL 34233-2278 Ph: (813) 754-7756 |
NPI Number | 1043528474 |
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Provider Enumeration Date | 09/20/2010 |
Last Update Date | 12/02/2010 |
Medicare PECOS PAC ID | 8729275532 |
---|---|
Medicare Enrollment ID | O20101206001031 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043528474 | NPI | - | NPPES |
250496100 | Medicaid | FL | |
110174189 | Other | FL | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Blesilda H Olfato |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922186485 PECOS PAC ID: 3375668379 Enrollment ID: I20100914001184 |
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