Individual
MISS ALENA GERASIMOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HEALTHCARE WAY STE 201, NORTH VENICE, FL 34275-3669
(941) 261-0100
(941) 261-0105
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME165284
FL
Other
Enumeration date
03/29/2017
Last updated
02/29/2024
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