Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | ME 32916 | FL |
NPI | 1114904208 |
---|---|
Provider Name | Gabrielle Olivella |
First Address | Orlando, FL 32818-7812 |
Second Address | Orlando, FL 32822-2703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C41605 | (02) | FL |