Olivarez, Lori M

Olivarez, Lori M is an individual health care provider with primary practice located at 7807 Baymeadows Rd E. Suite 207, Jacksonville FL 32256. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Olivarez, Lori M can be contacted via phone (904) 446-9991.

Contact Information

Primary practice address
7807 Baymeadows Rd E. Suite 207 Jacksonville FL 32256
Phone: (904) 446-9991
Fax: (904) 446-9992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9162300 Florida

Profile Details

NPI number 1336191121
LBN Legal business name Olivarez, Lori M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Mar 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336191121 NPPES
Florida MEDICAID 306934600

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