Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | ME144978 | FL |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME144978 | FL |
NPI | 1699879098 |
---|---|
Provider Name | Guilherme H Oliveira |
First Address | Orlando, FL 32891-0001 |
Second Address | Tampa, FL 33606-3603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
106080100 | (05) | FL |
D10B4 | BLUE CROSS BLUE SHIELD (01) | FL |