Joan D Oleary MD Pl
Dermatology in Orange Park, FL. Organization (NPI-2).
NPI number1467702175
StatusActive
Last updated in NPPESSep 11, 2012
Details
- NPI
- 1467702175
- Entity type
- Organization (NPI-2)
- Legal business name
- Joan D Oleary MD Pl
- Organization subpart
- No
- Enumeration date
- Sep 11, 2012
- Last updated
- Sep 11, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | ME64412 | FL | Yes |
Practice location
1555 Kingsley AveSuite 401
Orange Park, FL 32073-4560
Phone 904-278-3100 · Fax 904-278-4463
Mailing address
1555 Kingsley AveSuite 401
Orange Park, FL 32073-4560
Phone 904-278-3100 · Fax 904-278-4463
Authorized official
Joan D Oleary
President
9042783100
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