Provider Demographics
NPI:1205256328
Name:METRY, OLEVIA (MD)
Entity type:Individual
Prefix:DR
First Name:OLEVIA
Middle Name:
Last Name:METRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1289
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33601-1289
Mailing Address - Country:US
Mailing Address - Phone:813-277-8852
Mailing Address - Fax:
Practice Address - Street 1:19027 WINGSHOOTER WAY
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-4875
Practice Address - Country:US
Practice Address - Phone:813-660-7900
Practice Address - Fax:813-821-9821
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10418900207Q00000X
VA0101263677207Q00000X
FLME129549207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine