Healthcare Provider Details

I. General information

NPI: 1386473684
Provider Name (Legal Business Name): ALEKSANDR BUKHBINDER MSN APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 BERMUDA ISLES CIR
VENICE FL
34292-4510
US

IV. Provider business mailing address

407 BERMUDA ISLES CIR
VENICE FL
34292-4510
US

V. Phone/Fax

Practice location:
  • Phone: 917-528-1304
  • Fax: 941-283-7807
Mailing address:
  • Phone: 917-528-1304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11033726
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11033726
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN11033726
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: