Provider Demographics
NPI:1982804761
Name:ALESNIK, JOSEPH P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:ALESNIK
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:PO BOX 15088
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34280-5088
Mailing Address - Country:US
Mailing Address - Phone:941-744-2640
Mailing Address - Fax:941-744-2650
Practice Address - Street 1:5304 4TH AVENUE CIR E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-5624
Practice Address - Country:US
Practice Address - Phone:941-744-2640
Practice Address - Fax:941-744-2650
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99537208G00000X
KY43036208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP00783226OtherRR MEDICARE
FLME99537OtherMEDICAL LICENSE
KYP00783226OtherRR MEDICARE
FLAF220YMedicare PIN