Healthcare Provider Details

I. General information

NPI: 1487878310
Provider Name (Legal Business Name): FRANCISCO J OLIVA DPM PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 01/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 MONTEREY ST STE 203
CORAL GABLES FL
33134-2537
US

IV. Provider business mailing address

801 MONTEREY ST STE 203
CORAL GABLES FL
33134-2537
US

V. Phone/Fax

Practice location:
  • Phone: 305-648-3680
  • Fax:
Mailing address:
  • Phone: 305-648-3680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberP01917
License Number StateFL

VIII. Authorized Official

Name: FRANCISCO J OLIVA
Title or Position: DPM
Credential:
Phone: 305-648-3680