Oliva & Oliva MDS PA

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

ME0036108 Issued in FL

Legal business name

OLIVA & OLIVA MDS PA

Doing business as

Tampa Bay Diagnostic Clinic

Practice address

1439 Oakfield Dr
Brandon, FL 33511-2801

Phone

(813) 689-2853

Fax

(813) 654-1722

NPI assigned

Dec 27, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

OLIVA & OLIVA MDS PAAs reported in NPPES

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

Authorized official

Name

Dr. Robert J Oliva, MDNPI 1740393255

Title

President

Phone

(813) 689-2853

Specialties & licenses 1

Addresses

Other names 1

• TAMPA BAY DIAGNOSTIC CLINIC Doing business as

Part of

Tampa Bay Diagnostic Clinic

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert J Oliva, MD

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1740393255
  Authorized official Same address or phone
• Laurie Sullivan, ARNP

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1073529582
  NPD (past)

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1760666796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112801",
            "telephone_number": "813-689-2853",
            "fax_number": "813-654-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112801",
            "telephone_number": "813-689-2853",
            "fax_number": "813-654-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVA & OLIVA MDS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLIVA & OLIVA MDS PA",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "OLIVA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-689-2853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "FL",
            "license": "ME0036108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAMPA BAY DIAGNOSTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ohi West Medical Group II LLC (Florida Medical Clinic Orlando Health)
• Okun and Maddalon M.D. PA (Brandon Orthopedics Associates)
• John David Okun, M.D.
• Craig Lewis Oldham, DMD
• Oliphant Holistic Health and Wellness LLC
• Adrian Octavio Oliva Rodriguez, MD
• Adela M Oliva, MD
• Ana Maria Oliva, M.D.
• Robert J Oliva, MD
• Olive Verde Company LLC (Olivo Verde Company, LLC)

• Adolescent Medicine (Internal Medicine) Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Adolescent Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.