MEDICARE: DR. FABIAN ALEXANDER TURUSHINA MD

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	208D00000X	General Practice Physician	ACN1311	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	:	1326658899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FABIAN ALEXANDER TURUSHINA MD

Provider Business Mailing Address
First Line	:	18540 US HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-6725
Country	:	US
Telephone Number	:	352-383-1667
Fax Number	:	352-357-6045

Provider Business Practice Location Address
First Line	:	18540 US HIGHWAY 441
Second Line	:
City	:	MOUNT DORA
State	:	FL
Zip	:	32757-6725
Country	:	US
Telephone Number	:	352-383-1667
Fax Number	:	352-357-6045

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

Provider Enumeration Date	:	08/08/2020
Last Update Date	:	03/11/2026

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