Healthcare Provider Details

I. General information

NPI: 1801865910
Provider Name (Legal Business Name): JOSEPH W OLIVERE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 ORIENTA AVE STE 1201
ALTAMONTE SPRINGS FL
32701-5676
US

IV. Provider business mailing address

745 ORIENTA AVE STE 1201
ALTAMONTE SPRINGS FL
32701-5676
US

V. Phone/Fax

Practice location:
  • Phone: 407-551-5200
  • Fax: 407-339-2906
Mailing address:
  • Phone: 407-551-5200
  • Fax: 407-339-2906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberME110100
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number42589
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: