Organization

Olga Iarossevitch Llc

Medical Physician Assistant in Boca Raton, FL(View on Map)

Legal Business Name

Olga Iarossevitch Llc

NPI Number

1134530314

NPI Type

Organization

Enumeration Date

05/09/2014

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

PA9104365

Contact
Information

Purpose

Mailing
Location

Address

105 E PALMETTO PARK RD
2090 S CONFERENCE DR

City

Boca Raton
Boca Raton

State

FL
FL

Postal Code

33432-4801
33486-3114

Country

US
US

Telephone Number

(561) 271-4338
(561) 271-4338

Authorized Official

Name

Olga Iarossevitch

Title or Position

FOUNDER

Telephone Number

(561) 271-4338

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/09/2014

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