Individual provider · Type 1 NPI

Genesis Oliver, PA

Medical Physician Assistant · Brandon, FL

NPI number 1164301008 Active

Practice location

313 S Lakewood Dr
Brandon, FL 33511-2815

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X9120625 (FL)
Medical Physician Assistant Primary 363AM0700X9120625 (FL)
Surgical Physician Assistant 363AS0400X9120625 (FL)

Medical Physician Assistant: Definition to come...

31 other providers at this address

Other medical physician assistant providers in Brandon

See all in Brandon →

About NPI 1164301008

Genesis Oliver, PA's National Provider Identifier is 1164301008, issued on Aug 27, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brandon, FL. The record was last updated on Sep 3, 2025.