Provider Demographics
NPI:1366655904
Name:VISVIKIS, ALEXANDRE G (BS EX PHYSIOLO)
Entity type:Individual
Prefix:MR
First Name:ALEXANDRE
Middle Name:G
Last Name:VISVIKIS
Suffix:
Gender:M
Credentials:BS EX PHYSIOLO
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Mailing Address - Street 1:1500 BAY RD
Mailing Address - Street 2:APT.546
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-3252
Mailing Address - Country:US
Mailing Address - Phone:786-587-4651
Mailing Address - Fax:
Practice Address - Street 1:12608 SW 88TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1867
Practice Address - Country:US
Practice Address - Phone:305-412-4177
Practice Address - Fax:305-412-6301
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist