| L.a. Oliverio,md Enterprises, Inc. | |
|
20661 Ned Love Ave Dunnellon FL 34431-6767 | |
| (352) 489-2401 | |
| (352) 489-2521 |
| Full Name | L.a. Oliverio,md Enterprises, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 20661 Ned Love Ave, Dunnellon, Florida |
| Authorized Official Name and Position | L. A. Oliverio (PRESIDENT/SECRETARY AND DIRECTOR) |
| Authorized Official Contact | 3524892401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L.a. Oliverio,md Enterprises, Inc. 20661 Ned Love Ave Dunnellon FL 34431-6767 Ph: (352) 489-2401 | L.a. Oliverio,md Enterprises, Inc. 20661 Ned Love Ave Dunnellon FL 34431-6767 Ph: (352) 489-2401 |
| NPI Number | 1194042556 |
|---|---|
| Provider Enumeration Date | 04/26/2010 |
| Last Update Date | 04/26/2010 |
| Medicare PECOS PAC ID | 5799979688 |
|---|---|
| Medicare Enrollment ID | O20101104000930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194042556 | NPI | - | NPPES |
| 063686000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME47193 (Florida) | Primary |
| Provider Name | Luzviminda A. Villaneuvo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528002714 PECOS PAC ID: 6406040393 Enrollment ID: I20101104000987 |
| Provider Name | Patti S Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902117716 PECOS PAC ID: 8729111489 Enrollment ID: I20170627002142 |
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