MEDICARE: ALEXANDRA SREDNI

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	103TC0700X	Clinical Psychologist	PY10468	FL

General Provider Information

NPI Number	:	1326690058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA SREDNI

Provider Business Mailing Address
First Line	:	21500 BISCAYNE BLVD STE 504
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-1256
Country	:	US
Telephone Number	:	305-582-6628
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 W 41ST ST STE 307
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3350
Country	:	US
Telephone Number	:	305-582-6628
Fax Number	:

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

Provider Enumeration Date	:	07/12/2019
Last Update Date	:	07/12/2019

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