Basic Information
| Provider Information | |||||||||
| NPI: | 1972581361 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARIC | ||||||||
| FirstName: | OLGA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14690 SPRING HILL DR STE 305 | ||||||||
| Address2: | |||||||||
| City: | SPRING HILL | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346098102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522775305 | ||||||||
| FaxNumber: | 3526160906 | ||||||||
| Practice Location | |||||||||
| Address1: | 7729 E PINE LAKE LN | ||||||||
| Address2: | |||||||||
| City: | FLORAL CITY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344363745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3525560423 | ||||||||
| FaxNumber: | 3526160915 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/05/2006 | ||||||||
| LastUpdateDate: | 06/30/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/30/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME89311 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.