Provider Demographics
NPI:1972790384
Name:BERNSHTEYN, ALEKSANDER (MD)
Entity Type:Individual
Prefix:
First Name:ALEKSANDER
Middle Name:
Last Name:BERNSHTEYN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 N ORANGE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4641
Mailing Address - Country:US
Mailing Address - Phone:407-303-7280
Mailing Address - Fax:407-303-7265
Practice Address - Street 1:2501 N ORANGE AVE STE 200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4641
Practice Address - Country:US
Practice Address - Phone:407-303-7280
Practice Address - Fax:407-303-7265
Is Sole Proprietor?:No
Enumeration Date:2007-09-29
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X208600000X
FLME107247208600000X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL'002519700Medicaid
GA003140311AMedicaid
FLDP403YMedicare PIN