| 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 |