Provider Demographics
NPI:1649043811
Name:OLIVIER, ELSIE S
Entity type:Individual
Prefix:
First Name:ELSIE
Middle Name:S
Last Name:OLIVIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2381 LAUREL BLOSSOM CIR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-5203
Mailing Address - Country:US
Mailing Address - Phone:321-215-1367
Mailing Address - Fax:
Practice Address - Street 1:2381 LAUREL BLOSSOM CIR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-5203
Practice Address - Country:US
Practice Address - Phone:321-215-1367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver