Olive Verde Company LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ND4125 Issued in FL

Legal business name

OLIVE VERDE COMPANY LLC

Practice address

859 W Lumsden Rd
Brandon, FL 33511-6280

Phone

(813) 546-1143

Fax

(813) 684-0804

NPI assigned

Jun 20, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Dianna K Lopez, RDN, LD/N

Title

Owner

Phone

(813) 546-1143

Specialties & licenses 1

Addresses

Other names 1

• Olivo Verde Company, LLC Doing business as

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1831683036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 VALTERRA VISTA WAY",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335944412",
            "telephone_number": "813-546-1143",
            "fax_number": "813-684-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116280",
            "telephone_number": "813-546-1143",
            "fax_number": "813-684-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE VERDE COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-546-1143",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDN, LD/N"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ND4125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olivo Verde Company, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Oliva & Oliva MDS PA
• Adrian Octavio Oliva Rodriguez, MD
• Adela M Oliva, MD
• Ana Maria Oliva, M.D.
• Robert J Oliva, MD
• Katrina Oliveira Rollin, APRN
• Genesis Oliver, PA
• Nicole Celeste Oliver, LMT
• Rachel Anne Oliver, MD
• Zaria Oliver, NP

• Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.