Konstantin Alekseyenko, DO Valid NPI

Individual provider · Adult Medicine Physician · Port St Lucie, FL

NPI

1164801130

Type

Individual (Type 1)

Primary specialty

Adult Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QA0505X

License number

OS14266 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2015-05-23

Last updated

2020-10-14