Olga Nazarov, MSPAS, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9107202 Issued in FL

Practice address

915 Middle River Dr
Fort Lauderdale, FL 33304

Phone

(954) 565-7575

NPI assigned

Sep 5, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laser Therapy Health and Wellness Center

  • Prevention Professional
  • Hallandale Beach, FL
  • NPI 1548709926
  NPD (past)
• Richard M Galitz MD PA

  • Facial Plastic Surgery Physician
  • Aventura, FL
  • NPI 1902097496
  NPD (past)

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1194150581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18851 NE 29TH AVE STE 306",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MIDDLE RIVER DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33304",
            "telephone_number": "954-565-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18851 NE 29th Ave # 306-1",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331802808",
            "country_code": "US",
            "telephone_number": "305-974-0505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Middle River Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "33304",
            "country_code": "US",
            "telephone_number": "954-565-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAZAROV",
        "first_name": "OLGA",
        "credential": "MSPAS, RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9107202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Patricia Navarro
• Raymond Anthony Navarro, RMHCI
• Jose Oscar Naveira, MD
• Muhammad Kashif Nawaz, APRN
• Maxo Nazaire, CRNA
• Marc Nazon Jr., LMFT
• Christal Neal
• Need a Brace LLC
• Needle Zen Acupuncture LLC
• Bonnie Needleman

• Physician Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.