Individual
ALEX FAVELUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
942 SAXON BLVD STE 1A, ORANGE CITY, FL 32763-8358
(386) 456-5293
(386) 456-5142
Mailing address
942 SAXON BLVD STE 1A, ORANGE CITY, FL 32763-8358
(386) 456-5293
(386) 456-5142
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
ME95755
FL
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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