Provider Demographics
NPI:1619671054
Name:BOGUSLAVSKIY, ROCHELLE (DO)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:BOGUSLAVSKIY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ROCHELLE
Other - Middle Name:
Other - Last Name:MOGILEVSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:FLORIDA ATLANTIC UNIVERSITY NEUROLOGY RESIDENCY PROGRAM
Mailing Address - Street 2:800 MEADOWS ROAD
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-955-3945
Mailing Address - Fax:186-662-2218
Practice Address - Street 1:FLORIDA ATLANTIC UNIVERSITY NEUROLOGY RESIDENCY PROGRAM
Practice Address - Street 2:800 MEADOWS ROAD
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-955-3945
Practice Address - Fax:186-662-2218
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program