Healthcare Provider Details

I. General information

NPI: 1821855537
Provider Name (Legal Business Name): VIRGINIA M OLIVEIRA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1173 BLACKWOOD AVE
OCOEE FL
34761-4518
US

IV. Provider business mailing address

1121 BENNETT RD
ORLANDO FL
32814-6008
US

V. Phone/Fax

Practice location:
  • Phone: 407-445-8018
  • Fax: 321-340-3885
Mailing address:
  • Phone: 321-947-2170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11032705
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9540167
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: