Olga Iarossevitch Llc

NPI 1134530314 - Physician Assistant - 363AM0700X

NPI Details
NPI 1134530314
Enumeration Date 05/09/2014
Last Updated 05/09/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name OLGA OLGA
Position FOUNDER
Phone (561) 271-4338
Fax
Practice Location
2090 S CONFERENCE DR
BOCA RATON FL, 33486-3114, US
Phone (561) 271-4338
Fax
Business Location
105 E PALMETTO PARK RD
B
BOCA RATON FL, 33432-4801, US
Phone (561) 271-4338
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Florida
License Number PA9104365
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According to our database, Olga Iarossevitch Llc NPI is 1134530314, taxonomy code is 363AM0700X and license number is PA9104365, license state is located at Florida. Olga Iarossevitch Llc physically located at 2090 S Conference Dr, Boca Raton FL, 33486-3114. NPI Number 1033115704 has the healthcare provider type.

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1134530314 NPI number is provided on an as is basis without warranty of any kind. 1134530314 is maintained by the National Plan & Provider Enumeration System. The contents of Olga Iarossevitch Llc are for informational purposes only.