Individual
DR. DENYS IVASECHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2420 E COLONIAL DR, ORLANDO, FL 32803-5019
(407) 894-6781
Mailing address
1910 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3221
(407) 870-2446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
61405
FL
Other
Enumeration date
09/15/2020
Last updated
10/12/2020
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