Healthcare Provider Details

I. General information

NPI: 1215565635
Provider Name (Legal Business Name): AMRA OLAFSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMRA KUC

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8250 BRYAN DAIRY RD STE 250
LARGO FL
33777-1360
US

IV. Provider business mailing address

8250 BRYAN DAIRY RD STE 250
LARGO FL
33777-1360
US

V. Phone/Fax

Practice location:
  • Phone: 727-393-5300
  • Fax: 727-393-5301
Mailing address:
  • Phone: 727-393-5300
  • Fax: 727-393-5301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME179349
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: