National Provider Identifier Database

OLIVE BRANCH HEALTH AND WELLNESS LLC
Gastroenterology


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
* Gastroenterology 163WG0100X
Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for OLIVE BRANCH HEALTH AND WELLNESS LLC

NPI Number 1316895865
Legal business name
LBN
OLIVE BRANCH HEALTH AND WELLNESS LLC
Authorized official PAULETTE VITAL-HERNE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/19/2026
Last updated 03/19/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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