Individual
OLGA IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
380 CELEBRATION PLACE, SECOND FLOOR, CELEBRATION, FL 34747
(407) 303-4760
(407) 303-4546
Mailing address
PO BOX 538600, ORLANDO, FL 32853-8600
(407) 303-4760
(407) 303-4546
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036114714
IL
208600000X
Surgery Physician
Primary
ME110167
FL
Other
Enumeration date
05/23/2006
Last updated
09/24/2013
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