MEDICARE: WENDY OLIVER-PYATT, MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1558024950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WENDY OLIVER-PYATT, MD

Provider Business Mailing Address
First Line	:	6011 SW 82ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-8127
Country	:	US
Telephone Number	:	305-240-9903
Fax Number	:	786-216-7015

Provider Business Practice Location Address
First Line	:	6011 SW 82ND ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33143-8127
Country	:	US
Telephone Number	:	305-240-9903
Fax Number	:	786-216-7015

Authorized Official
Title or Position	:	INSURANCE BILLING MANAGER
Name	:	WENDI JO CONLEY
Credential	:
Telephone Number	:	424-298-8901

Provider Enumeration Date	:	10/21/2021
Last Update Date	:	10/21/2021

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