Individual
ALEKSEY ALEKSEYENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MHPG PRIMARY CARE @ TRADITION HEALTH PARK II, 10080 SW INNOVATION WAY SUITE 201, PORT ST LUCIE, FL 34987
(772) 344-3811
(772) 344-3890
Mailing address
MHPG PRIMARY CARE @ TRADITION HEALTH PARK II, 10080 SW INNOVATION WAY SUITE 201, PORT ST LUCIE, FL 34987
(772) 344-3811
(772) 344-3890
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
OS15148
FL
Other
Enumeration date
05/21/2015
Last updated
10/14/2020
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