NPI | 1831683036 |
---|---|
Doing Business As | OLIVO VERDE COMPANY, LLC |
Entity Type | Organization |
Authorized Contact | DIANNA K LOPEZ Owner 813-546-1143 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ND4125) |
Enumeration Date | 2018-06-20 |
Last Update Date | 2019-09-09 |