MRS. GENESIS OLIVER PA NPI 1164301008

NPI Information

  • NPI: 1164301008
  • Provider Name: MRS. GENESIS OLIVER, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 313 S LAKEWOOD DR
    BRANDON, FL
    ZIP 33511
  • Phone: (813) 653-6100

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NPI Details

MRS. Genesis Oliver, PA is a medical physician assistant in Brandon, FL. MRS. Genesis Oliver, PA NPI is 1164301008. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

313 S LAKEWOOD DR
BRANDON, FL
ZIP 33511-815
Phone: (813) 653-6100

The NPI 1164301008 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2025 and was last updated on 9/3/2025.

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 License Number License State Primary
1363A00000XPhysician Assistant9120625FLORIDANo
2363AM0700XPhysician AssistantMedical9120625FLORIDAYes
3363AS0400XPhysician AssistantSurgical9120625FLORIDANo

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: 11/21/2025

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