Olga Iarossevitch LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9104365 Issued in FL

Legal business name

OLGA IAROSSEVITCH LLC

Practice address

2090 S Conference Dr
Boca Raton, FL 33486-3114

Phone

(561) 271-4338

NPI assigned

May 9, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olga Iarossevitch

Title

Founder

Phone

(561) 271-4338

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1134530314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E PALMETTO PARK RD",
            "address_2": "B",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334324801",
            "telephone_number": "561-271-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 S CONFERENCE DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334863114",
            "telephone_number": "561-271-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLGA IAROSSEVITCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "IAROSSEVITCH",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "561-271-4338"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Oherlihy
• Sally B Oken, LCSW
• Peter N Okolo Jr., MD
• Marina Oksengorn, LMHC
• Jaclyn Michele Okun
• Sonia Rizza Olitoquit, PTA
• Luis Oliva, M.D.
• Elizabeth Olivas, LMT
• Ileana Rodriguez Olive
• Juliana Oliveira Vassalo, PT

• Medical Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.