OLIVE HEALTH LLC NPI 1124612817

NPI Information

NPI: 1124612817
Provider Name: OLIVE HEALTH LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4912 W TRAPNELL RD
PLANT CITY, FL
ZIP 33566
Phone: (813) 417-4767
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OLIVE HEALTH LLC is a primary care nurse practitioner in Plant City, FL. OLIVE HEALTH LLC NPI is 1124612817. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4912 W TRAPNELL RD
PLANT CITY, FL
ZIP 33566-128
Phone: (813) 417-4767

The provider's authorized official is Yvette Guzman .
The authorized official title is Owner and has the following contact phone number (813) 389-9474.

The enumeration date for this NPI number is 2/24/2021 and was last updated on 8/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	363A00000X	Physician Assistant		No
3	363LA2200X	Nurse Practitioner	Adult Health	No
4	363LF0000X	Nurse Practitioner	Family	No
5	363LP2300X	Nurse Practitioner	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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