MEDICARE: CRISTINA ALEKSEYENKO

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	207Q00000X	Family Medicine Physician	OS14479	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255710224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISTINA ALEKSEYENKO

Provider Business Mailing Address
First Line	:	4229 SW HIGH MEADOWS AVE FL 2
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-3702
Country	:	US
Telephone Number	:	772-261-6509
Fax Number	:	772-251-0399

Provider Business Practice Location Address
First Line	:	4229 SW HIGH MEADOWS AVE FL 2
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-3702
Country	:	US
Telephone Number	:	772-261-6509
Fax Number	:	772-251-0399

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

Provider Enumeration Date	:	05/23/2015
Last Update Date	:	05/04/2026

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Directions to “ CRISTINA ALEKSEYENKO ” Practice Location

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