| Blesilda H Olfato, P a | |
|
4544 Shadowleaf Dr Sarasota FL 34233-2278 | |
| (813) 754-7756 | |
| (813) 754-7565 |
| Full Name | Blesilda H Olfato, P a |
|---|---|
| Speciality | Internal Medicine |
| Location | 4544 Shadowleaf Dr, Sarasota, Florida |
| Authorized Official Name and Position | Blesilda H Olfato (PROVIDER) |
| Authorized Official Contact | 9419278213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blesilda H Olfato, P a 4544 Shadow Leaf Dr Sarasota FL 34233 Ph: (813) 754-7756 | Blesilda H Olfato, P a 4544 Shadowleaf Dr Sarasota FL 34233-2278 Ph: (813) 754-7756 |
| NPI Number | 1043528474 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 8729275532 |
|---|---|
| Medicare Enrollment ID | O20101206001031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043528474 | NPI | - | NPPES |
| 250496100 | Medicaid | FL | |
| 110174189 | Other | FL | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Blesilda H Olfato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922186485 PECOS PAC ID: 3375668379 Enrollment ID: I20100914001184 |
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