MEDICARE: DR. ANNA OSTROVSKY D.M.D.

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	1223G0001X	General Practice Dentistry	FL14912	FL

General Provider Information

NPI Number	:	1366593030
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNA OSTROVSKY D.M.D.

Provider Business Mailing Address
First Line	:	7075 PIONEER LAKES CIR
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-2257
Country	:	US
Telephone Number	:	561-753-6880
Fax Number	:	561-753-6884

Provider Business Practice Location Address
First Line	:	10111 W FOREST HILL BLVD RM 300
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6142
Country	:	US
Telephone Number	:	561-753-6880
Fax Number	:	561-753-6884

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/08/2007

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