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Individual

DR. IVANKA KOVALYSHYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O

Contact information

Practice address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 247-4984
Mailing address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 247-4984
(561) 431-2821

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS13270
FL
207ND0900X
Dermatopathology Physician
34.011030
OH
207ND0900X
Dermatopathology Physician
OS13270
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/03/2010
Last updated
06/05/2024
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