Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olympia Medical Group, LLC

Organization Family Medicine Physician · NPI 1013473495

Olympia Medical Group, LLC is a Family Medicine Physician in Davenport, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2306 N Blvd W Ste C
Davenport, FL 33837-8976
Phone: (863) 547-9200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1013473495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bala Kode — Managing Partner · (863) 547-9200
NPI enumeratedFebruary 11, 2019
Last updated in NPPESDecember 22, 2023
Certification dateDecember 22, 2023
Mailing address2306 North Blvd W Ste C, Davenport, FL 33837-8976

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