Organization · Type 2 NPI
Olive Verde Company LLC
Clinic/Center · Brandon, FL
NPI number
1831683036
Active
Practice location
859 W Lumsden Rd
Brandon, FL 33511-6280
Fax (813) 684-0804
Mailing address
2231 Valterra Vista Way
Valrico, FL 33594-4412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | ND4125 (FL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
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About NPI 1831683036
Olive Verde Company LLC's National Provider Identifier is 1831683036, issued on Jun 20, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Brandon, FL. The record was last updated on Sep 9, 2019.