Oliveira, Carlos Mario

Oliveira, Carlos Mario is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 1D , Melbourne FL 32901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Oliveira, Carlos Mario can be contacted via phone (321) 312-3480.

Contact Information

Primary practice address
1223 Gateway Dr Ste 1D Melbourne FL 32901
Fax: (321) 722-1237
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME36302 Florida

Profile Details

NPI number 1588648687
LBN Legal business name Oliveira, Carlos Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Feb 28th, 2020 - 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 1588648687 NPPES
Florida Other P01164169 RR MEDICARE
Florida Other 05434 RR MEDICARE
Florida Other 160034381 RR MEDICARE
Florida MEDICAID 065583000 RR MEDICARE
Florida Other 05434Y RR MEDICARE

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