| NPI | 1134530314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA IAROSSEVITCH Founder 561-271-4338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9104365) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |