MEDICARE: ALEXANDER MAZUROVSKY D.C., APRN

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	363LF0000X	Family Nurse Practitioner	APRN11046222	FL
2	111N00000X	Chiropractor	X009550	NY

General Provider Information

NPI Number	:	1578572046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER MAZUROVSKY D.C., APRN

Provider Business Mailing Address
First Line	:	9217 OLMSTEAD DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-3603
Country	:	US
Telephone Number	:	917-648-1005
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-4180
Country	:	US
Telephone Number	:	917-648-1005
Fax Number	:

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	04/28/2026

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