NPI 1053380584
Mikhail Vassilenko, MD
Practice location
- Address
- 10301 Hagen Ranch Rd STE B200, Boynton Beach, FL 33437-3723
- Phone
- (561) 752-9490
- Fax
- (561) 752-9491
- Mailing address
- 1065 NE 125th St STE 300, North Miami, FL 33161-5833
Registered specialties (2)
Psychiatry Physician
Primary
Psychiatry Physician
Registry record
- NPI
- 1053380584
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Mar 2006
- Record last updated
- 16 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.