Organization
OLGA IAROSSEVITCH LLC
Active
Organization
OLGA IAROSSEVITCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA IAROSSEVITCH (FOUNDER)
(561) 271-4338
Entity
Organization
Contact information
Practice address
2090 S CONFERENCE DR, BOCA RATON, FL 33486-3114
(561) 271-4338
Mailing address
105 E PALMETTO PARK RD, B, BOCA RATON, FL 33432-4801
(561) 271-4338
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104365
FL
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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