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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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