| Lidia Oliveira, D.O., P.A. | |
|
917 Rinehart Rd Ste 2001 Lake Mary FL 32746-4802 | |
| (407) 248-9003 | |
| (407) 248-0445 |
| Full Name | Lidia Oliveira, D.O., P.A. |
|---|---|
| Speciality | Family Medicine |
| Location | 917 Rinehart Rd, Lake Mary, Florida |
| Authorized Official Name and Position | Lidia Flores Oliveira (PRESIDENT) |
| Authorized Official Contact | 4072489003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lidia Oliveira, D.O., P.A. Po Box 22795 Orlando FL 32830-2795 Ph: (407) 248-9003 | Lidia Oliveira, D.O., P.A. 917 Rinehart Rd Ste 2001 Lake Mary FL 32746-4802 Ph: (407) 248-9003 |
| NPI Number | 1780872176 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 05/06/2013 |
| Medicare PECOS PAC ID | 5193703056 |
|---|---|
| Medicare Enrollment ID | O20040708000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780872176 | NPI | - | NPPES |
| 3714012-01 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS6402 (Florida) | Primary |
| Provider Name | Lidia F Oliveira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912007485 PECOS PAC ID: 4981682846 Enrollment ID: I20120625000362 |
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