MEDICARE: MAZALTOV LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1184426124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAZALTOV LLC

Provider Business Mailing Address
First Line	:	2001 PALM BEACH LAKES BLVD STE 202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6514
Country	:	US
Telephone Number	:	561-806-9048
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 PALM BEACH LAKES BLVD STE 202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-6514
Country	:	US
Telephone Number	:	561-806-9048
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	OLGA YORISH
Credential	:
Telephone Number	:	561-806-9048

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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Directions to “MAZALTOV LLC ” Practice Location

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