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Individual

OLESYA PALKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
4915 EHRLICH RD FL 33624, TAMPA, FL 33624-2038
(813) 591-4570
(813) 441-6116
Mailing address
4915 EHRLICH RD FL 33624, TAMPA, FL 33624-2038
(813) 591-4570
(813) 441-6116

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO4327
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
PO4327
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BXJU7
BCBS INDIVIDUAL
FL
01
PC375
MEDICARE INDIVIDUAL #
FL
Enumeration date
03/25/2019
Last updated
07/31/2023
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