Individual
MIKHAIL VASSILENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10301 HAGEN RANCH RD STE B200, BOYNTON BEACH, FL 33437-3723
(561) 752-9490
(561) 752-9491
Mailing address
1065 NE 125TH ST STE 300, NORTH MIAMI, FL 33161-5833
(786) 221-0908
(305) 891-4228
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD062001L
PA
2084P0800X
Psychiatry Physician
Primary
ME156021
FL
Other
Enumeration date
03/16/2006
Last updated
01/16/2024
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