Dr. Jenny Berezanskaya
Family Doctor Family Doctor - Sports Medicine
1095 Nw Saint Lucie West Blvd
Port St Lucie
, Florida 34986-1719
Dr. Jenny Berezanskaya
Family Doctor Family Doctor - Sports Medicine
1095 Nw Saint Lucie West Blvd
Port St Lucie
, Florida 34986-1719
(772) 785-5531
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Jenny Berezanskaya
- 1095 Nw Saint Lucie West Blvd
- Port St Lucie, FL
- Zip : 34986-1719
- Fax : (772) 785-5531
- Phone : (772) 785-5511
Second Address
- Dr. Jenny Berezanskaya
- 1095 Nw Saint Lucie West Blvd
- Port St Lucie, FL
- Zip : 34986-1719
- Fax : (772) 785-5531
- Phone : (772) 785-5511
Reviews
FAQs
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Is Dr. Jenny Berezanskaya a sole practitioner?
Is Dr. Jenny Berezanskaya accepting new patients?
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Does Dr. Jenny Berezanskaya have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | OS17802 | FL |
| N | 207QS0010X | Family Doctor - Sports Medicine | OS17802 | FL |
National Provider Identifier
| NPI | 1316478217 |
|---|---|
| Provider Name | Dr. Jenny Berezanskaya |
| First Address | Port St Lucie, FL 34986-1719 |
| Second Address | Port St Lucie, FL 34986-1719 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2017 |
| Last Update Date | 21/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.