Olivo Verde Company, Llc | |
859 W Lumsden Rd Brandon FL 33511-6280 | |
(813) 546-1143 | |
(813) 684-0804 |
Full Name | Olivo Verde Company, Llc |
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Speciality | Clinic/center |
Location | 859 W Lumsden Rd, Brandon, Florida |
Authorized Official Name and Position | Dianna K Lopez (OWNER) |
Authorized Official Contact | 8135461143 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Olivo Verde Company, Llc 2231 Valterra Vista Way Valrico FL 33594-4412 Ph: (813) 546-1143 | Olivo Verde Company, Llc 859 W Lumsden Rd Brandon FL 33511-6280 Ph: (813) 546-1143 |
NPI Number | 1831683036 |
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Provider Enumeration Date | 06/20/2018 |
Last Update Date | 09/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831683036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | ND4125 (Florida) | Primary |
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