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Contact Information

OLIVE BRANCH HEALTH AND WELLNESS LLC
3018 N US HIGHWAY 301 STE 200
TAMPA, FL33619-2271
 Phone: 813-679-5413
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

163WG0100X
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for OLIVE BRANCH HEALTH AND WELLNESS LLC · (Female)

NPI # 1316895865
Status Active
Credentials
Entity Individual
Enumeration date 03/19/2026
Last updated 03/19/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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