Individual provider Active NPI

Bianca E Olivieri, PA-C

  • Physician Assistant
  • Dover, FL
National Provider Identifier
1629895586
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
14254 Dr Martin Luther King Jr Blvd
Dover, FL 33527-4414
Phone
(813) 653-6100
NPI assigned
Sep 23, 2024
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X FL Primary

Addresses

Primary practice location

14254 Dr Martin Luther King Jr Blvd
Dover, FL 33527-4414

Mailing address

14254 Dr. MLK Jr. Blvd
Dover, FL 33527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250319001179 FL Practitioner - Physician Assistant 5799207742 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Community Health Centers Inc CurrentSince Jan 11, 2025 Accepting new patients
Suncoast Community Health Centers, Inc CurrentSince Jan 11, 2025 Accepting new patients
Suncoast Community Health Centers Inc Past Accepting new patients

Locations

14254 Martin Luther King Blvd
Dover, FL 33527
Phone (813) 349-7700

13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567

2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1629895586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14254 DR. MLK JR. BLVD",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "33527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14254 DR MARTIN LUTHER KING JR BLVD",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335274414",
            "telephone_number": "813-653-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIERI",
        "first_name": "BIANCA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, FL

Sources for this page

Verify at the official NPI Registry.