Provider Demographics
NPI:1407247513
Name:OLMO, YOMARIE (BA)
Entity Type:Individual
Prefix:
First Name:YOMARIE
Middle Name:
Last Name:OLMO
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 EGRET LANDING PL
Mailing Address - Street 2:APT. 305
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-6771
Mailing Address - Country:US
Mailing Address - Phone:787-397-1097
Mailing Address - Fax:
Practice Address - Street 1:803 EGRET LANDING PL
Practice Address - Street 2:APT. 305
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-6771
Practice Address - Country:US
Practice Address - Phone:787-397-1097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-10
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator