Alex Favelukes, MD

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

ME95755 Issued in FL

Practice address

942 Saxon Blvd Ste 1a
Orange City, FL 32763-8358

Phone

(386) 456-5293

Fax

(386) 456-5142

NPI assigned

Oct 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Florida Radiology LLC

  • Specialist
  • Sarasota, FL
  • NPI 1205881455
  NPD (past)
• Central Florida Radiology LLC

  • Diagnostic Radiology Physician
  • Orange City, FL
  • NPI 1255374286
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790874717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 SAXON BLVD STE 1A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638358",
            "telephone_number": "386-456-5293",
            "fax_number": "386-456-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 SAXON BLVD STE 1A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638358",
            "telephone_number": "386-456-5293",
            "fax_number": "386-456-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVELUKES",
        "first_name": "ALEX",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "FL",
            "license": "ME95755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Practice of West Volusia Inc (Family Practice of West Volusia- Orange City)
• Family Tyme LLC (Preferred Care at Home of West Volusia)
• Barbara L. Fare, M.D.
• Stephanie Farina
• Seema Fatima, DPM
• Kristina Felix, MSN, WHNP-BC, APRN
• Genesis Feliz-Lopez
• Ashley Fender, APRN
• James Lewis Fenley Jr., M.D.
• Dana Fernando

• Nuclear Radiology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Nuclear Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.