Olivas, Jairo Martin

Olivas, Jairo Martin is an sole proprietor health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1715. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Olivas, Jairo Martin can be contacted via phone (352) 392-1161.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-1715
Phone: (352) 392-1161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME138665 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME138665 Florida

Profile Details

NPI number 1962898163
LBN Legal business name Olivas, Jairo Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2015
Last updated Jul 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962898163 NPPES
Florida MEDICAID 122467500

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