Provider Demographics
NPI:1598021594
Name:VALEVSKI, SVETLANA (DOM)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:VALEVSKI
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:LANA
Other - Middle Name:
Other - Last Name:VALEVSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOM
Mailing Address - Street 1:2336 SE OCEAN BLVD
Mailing Address - Street 2:#215
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996-3310
Mailing Address - Country:US
Mailing Address - Phone:561-247-9364
Mailing Address - Fax:
Practice Address - Street 1:961 SE CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3904
Practice Address - Country:US
Practice Address - Phone:772-800-6744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-04
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2815171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist