Provider Demographics
NPI:1902049216
Name:ARCHANGE, YVROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:YVROSE
Middle Name:
Last Name:ARCHANGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4849 LAKE WORTH ROAD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463
Mailing Address - Country:US
Mailing Address - Phone:561-433-4446
Mailing Address - Fax:561-433-3026
Practice Address - Street 1:4849 LAKE WORTH ROAD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463
Practice Address - Country:US
Practice Address - Phone:561-433-4446
Practice Address - Fax:561-433-3026
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME105960207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine