Provider Demographics
NPI:1255561247
Name:OLIVERI, CECILIA VIRGINIA (MD)
Entity type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:VIRGINIA
Last Name:OLIVERI
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 1:111 E WASHINGTON ST UNIT 3011
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2384
Mailing Address - Country:US
Mailing Address - Phone:251-751-3084
Mailing Address - Fax:
Practice Address - Street 1:623 MAITLAND AVE STE 2200
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-6823
Practice Address - Country:US
Practice Address - Phone:407-830-8661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98817207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty