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Individual

ALEXANDER PUSHKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7369 SHERIDAN ST STE 203, HOLLYWOOD, FL 33024-2776
(954) 983-5330
(954) 983-5086
Mailing address
7369 SHERIDAN ST STE 203, HOLLYWOOD, FL 33024-2776
(954) 983-5330
(954) 983-5086

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2023-02477
NC
2084P0800X
Psychiatry Physician
ME88666
FL
2084P0804X
Child & Adolescent Psychiatry Physician
2023-02477
NC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME88666
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107645400
FL
Enumeration date
10/10/2005
Last updated
08/20/2025
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