Active NPI
Maria F Oliveira, PA-C
- Pediatrics Physician
- Fort Myers, FL
National Provider Identifier
1720200678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- PA9110233
- Practice address
- 4048 Evans Ave Ste 209
Fort Myers, FL 33901-9385 - Phone
- (239) 278-9983
- Fax
- (239) 278-9985
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | PA9110233 | FL | Primary |
Addresses
Primary practice location
4048 Evans Ave Ste 209
Fort Myers, FL 33901-9385
Mailing address
1675 NW 41 St
Fort Lauderdale, FL 33309
Phone (239) 309-8983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA9110233 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110233 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Centers of Lee County | Pediatrics | Past | Accepting new patients |
| Pediatric Centers of Lee Co | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Ft Myers, FL
- NPI 1205989183
-
- Pediatrics Physician
- Lehigh Acres, FL
- NPI 1235271669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720200678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 NW 41 ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "239-309-8983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4048 EVANS AVE STE 209",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019385",
"telephone_number": "239-278-9983",
"fax_number": "239-278-9985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEIRA",
"first_name": "MARIA",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "PA9110233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PA9110233",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.