ILYA PAVLOV

PLANTATION, FL
NPI1366139800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-24
Last Update Date2026-06-15
Business Address
Mr. ILYA PAVLOV DO
600 S PINE ISLAND RD
PLANTATION, FL 33324-3166
Phone number: 305-355-6060
Mailing Address
Mr. ILYA PAVLOV DO
135 N OAK ST
HINSDALE, IL 60521-3860
Phone number: 708-245-8948