Organization Active NPI

Olive Treat LLC

  • Clinic/Center
  • Lakeland, FL
National Provider Identifier
1386564359
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OLIVE TREAT LLC
Practice address
5048 Spanish Oaks Blvd
Lakeland, FL 33805-7619
Phone
(313) 663-0209
NPI assigned
Jul 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amina IbrahimNPI 1750120424
Title
Ceo
Phone
(313) 663-0209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5048 Spanish Oaks Blvd
Lakeland, FL 33805-7619

Mailing address

5048 Spanish Oaks Blvd
Lakeland, FL 33805-7619
Phone (313) 663-0209

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1386564359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 SPANISH OAKS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338057619",
            "telephone_number": "313-663-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 SPANISH OAKS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338057619",
            "telephone_number": "313-663-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE TREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "AMINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-663-0209"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.