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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

NPI Number 1316895865
LBN Legal business name OLIVE BRANCH HEALTH AND WELLNESS LLC
Authorized official PAULETTE VITAL-HERNE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2026
Last updated 03/19/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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