Olmeda, Maria M
Olmeda, Maria M is an individual health care provider with primary practice located at 1542 Kingsley Ave Suite 140, Orange Park FL 32073-4586. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Olmeda, Maria M can be contacted via phone (904) 579-3189.Contact Information
Primary practice address
1542 Kingsley Ave Suite 140
Orange Park FL 32073-4586
Phone: (904) 579-3189
Fax: (904) 458-4054
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 200401107 | North Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2001-275 | New Mexico |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME122386 | Florida |
Profile Details
| NPI number | 1316032923 |
|---|---|
| LBN Legal business name | Olmeda, Maria M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Nov 8th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316032923 | NPPES |
| New Mexico | MEDICAID | 000G262 | |
| New Mexico | MEDICAID | 891374H | |
| New Mexico | Other | 839467 | |
| New Mexico | MEDICAID | 014961100 | |
| New Mexico | Other | 1374H |
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