| Olga Ulitsky Md Pl | |
|
1111 Avenida Del Circo Venice FL 34285-4108 | |
| (941) 484-8222 | |
| (941) 486-0316 |
| Full Name | Olga Ulitsky Md Pl |
|---|---|
| Speciality | Clinic/Center |
| Location | 1111 Avenida Del Circo, Venice, Florida |
| Authorized Official Name and Position | Olga Ulitsky (PRESIDENT) |
| Authorized Official Contact | 9414848222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olga Ulitsky Md Pl 1111 Avenida Del Circo Venice FL 34285-4108 Ph: (941) 484-8222 | Olga Ulitsky Md Pl 1111 Avenida Del Circo Venice FL 34285-4108 Ph: (941) 484-8222 |
| NPI Number | 1144525676 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 01/13/2011 |
| Medicare PECOS PAC ID | 6507042801 |
|---|---|
| Medicare Enrollment ID | O20110523000297 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144525676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Olga Ulitsky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023284536 PECOS PAC ID: 5698843373 Enrollment ID: I20110523000376 |
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