Provider Demographics
NPI:1841521184
Name:OLIVERA, ARNALDO LUIS II (PHD)
Entity type:Individual
Prefix:DR
First Name:ARNALDO
Middle Name:LUIS
Last Name:OLIVERA
Suffix:II
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 PALMETTO AVE STE F
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4952
Mailing Address - Country:US
Mailing Address - Phone:407-775-2949
Mailing Address - Fax:844-410-8878
Practice Address - Street 1:1260 PALMETTO AVE STE F
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4952
Practice Address - Country:US
Practice Address - Phone:407-775-2949
Practice Address - Fax:844-410-8878
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 3175106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist