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Organization

MAZALTOV LLC

Active
Parent organization
MAZALTOV LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MAZALTOV LLC
Authorized official
MS. OLGA YORISH (OFFICE MANAGER)
(561) 806-9048
Entity
Organization

Contact information

Practice address
10 FAIRWAY DR., SUITE 100, ROOM 209, DEERFIELD BEACH, FL 33441-1812
(954) 578-3167
(954) 578-3168
Mailing address
10 FAIRWAY DR., SUITE 100, ROOM 209, DEERFIELD BEACH, FL 33441-1812
(954) 578-3167
(954) 578-3168

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115273100
FL
Enumeration date
05/01/2024
Last updated
05/01/2024
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