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Contact Information

ALEXANDER PUSHKA MD PA
7369 SHERIDAN ST STE 203
HOLLYWOOD, FL33024-2776
 Phone: 954-983-5330
 Fax: 954-983-5086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ALEXANDER PUSHKA MD PA · (Female)

NPI # 1205101862
Status Active
Credentials
Entity Individual
Enumeration date 03/15/2012
Last updated 08/12/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME88666
  • FL Other 004704500 GROUP MEDICAID NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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