MEDICARE: OLIVIA I JONES

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	171M00000X	Case Manager/Care Coordinator		FL

General Provider Information

NPI Number	:	1770432064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVIA I JONES

Provider Business Mailing Address
First Line	:	159 CROCKER PARK BLVD
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-8131
Country	:	US
Telephone Number	:	941-623-3201
Fax Number	:

Provider Business Practice Location Address
First Line	:	2269 NW 59TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-7837
Country	:	US
Telephone Number	:	941-723-3201
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ OLIVIA I JONES ” Practice Location

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