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Contact Information

JAY E OLSSON, DO PROF ASSOCIATIONN
401 N WICKHAM RD
SUITE S
MELBOURNE, FL32935-8659
 Phone: 321-242-9031
 Fax: 321-242-9035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for JAY E OLSSON · (Male)

NPI # 1144264904
Status Active
Credentials DO PROF ASSOCIATIONN
Entity Individual
Enumeration date 06/15/2006
Last updated 09/16/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OS0004087
  • FL License # OS4087
  • FL Medicaid 045794900
Hospital affiliation(s)
  • HOLMES REGIONAL MEDICAL CENTER - (Acute Care)
    1350 S HICKORY ST
    MELBOURNE, FL 32901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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