Individual provider · Type 1 NPI

Konstantin Alekseyenko, DO

Adult Medicine Physician · Port St. Lucie, FL

NPI number 1164801130 Active

Practice location

10080 SW Innovation Way Ste 201
Port St. Lucie, FL 34987-2129

Fax (772) 344-3890

Mailing address

PO Box 417
Stuart, FL 34995-0417

Other practice locations

  • 7975 Lake Underhill Rd, Orlando, FL 32822-8202 · (407) 303-6830

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XOS14266 (FL)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

16 other providers at this address

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About NPI 1164801130

Konstantin Alekseyenko, DO's National Provider Identifier is 1164801130, issued on May 23, 2015. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Port St. Lucie, FL. The record was last updated on Oct 14, 2020.