Alexander Radzikhovsky, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA#0008748 Issued in FL

Practice address

4510 N Federal Hwy Ste 101
Lighthouse Point, FL 33064-6509

Phone

(954) 257-3095

Fax

(954) 785-4425

NPI assigned

Feb 10, 2010

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1902138266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HILLSBORO MILE",
            "city": "HILLSBORO BEACH",
            "state": "FL",
            "postal_code": "330622801",
            "telephone_number": "954-257-3095",
            "fax_number": "954-785-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 N FEDERAL HWY STE 101",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330646509",
            "telephone_number": "954-257-3095",
            "fax_number": "954-785-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADZIKHOVSKY",
        "first_name": "ALEXANDER",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA#0008748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.