Provider Demographics
NPI:1932186558
Name:OLENEK, CHRISTOPHER D (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:D
Last Name:OLENEK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:927 37TH PL
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6563
Mailing Address - Country:US
Mailing Address - Phone:772-581-8103
Mailing Address - Fax:772-581-8490
Practice Address - Street 1:960 37TH PL
Practice Address - Street 2:SUITE 102
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6586
Practice Address - Country:US
Practice Address - Phone:772-581-8103
Practice Address - Fax:772-581-8490
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2016-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8113207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL51488OtherBLUE CROSS BLUE SHIELD
FL51488OtherBLUE CROSS BLUE SHIELD