Provider Demographics
NPI:1346762291
Name:GAYE, OLIVE (MBA)
Entity Type:Individual
Prefix:
First Name:OLIVE
Middle Name:
Last Name:GAYE
Suffix:
Gender:F
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 LAKE ELLENOR DR STE 258
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-4638
Mailing Address - Country:US
Mailing Address - Phone:407-440-2877
Mailing Address - Fax:407-440-2876
Practice Address - Street 1:6100 LAKE ELLENOR DR STE 258
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4638
Practice Address - Country:US
Practice Address - Phone:407-440-2877
Practice Address - Fax:407-440-2876
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL17000125816163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse