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Contact Information

JENNY BEREZANSKAYA, DO
1095 NW SAINT LUCIE WEST BLVD
PORT SAINT LUCIE, FL34986-1719
 Phone: 772-785-5511
 Fax: 772-785-5531
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JENNY BEREZANSKAYA · (Female)

NPI Number 1316478217
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/22/2017
Last updated 10/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS17802
Hospital affiliation(s)
  • MARTIN MEMORIAL MEDICAL CENTER - (Acute Care)
    200 SE HOSPITAL AVE
    STUART, FL 34995
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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