Individual provider · Type 1 NPI

Oliver Kenneth Bayouth Iii, DO

Student in an Organized Health Care Education/Training Program · Orlando, FL

NPI number 1104518802 Active

Practice location

7975 Lake Underhill Rd Ste 200
Orlando, FL 32822-8204

Call (407) 303-6830 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XUO8872 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104518802

Oliver Kenneth Bayouth Iii, DO's National Provider Identifier is 1104518802, issued on May 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orlando, FL. The record was last updated on May 22, 2023.