DR. ALEX DAVID KHROMOV (NPI# 1689787707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689787707 |
| Entity Type | Individual |
| Full Name | DR. ALEX DAVID KHROMOV |
| Credential | M.D. |
| Practice Address |
1565 Saxon Blvd Suite 204 Deltona FL 32725-5876 |
| Practice Telephone | 3867424343 |
| Practice Fax Number | 3867421323 |
| Mailing Telephone | 3867424343 |
| Mailing Fax Number | 3867421323 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME96564 | FL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ME96564 | FLORIDA STATE LICENS | 01 |
| Street Address |
1565 SAXON BLVD SUITE 204 |
| City | DELTONA |
| State | FL |
| Zip Code | 32725-5876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780624734 | Patty C Licata | Physical Therapist | 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | 2006-06-07 |
| 1538668322 | Frank Denoff II | Rehabilitation Practitioner | 1565 Saxon Blvd, Deltona, FL 32725-5876 | 2018-02-07 |
| 1558885855 | Kayla Marie Boyle | Physical Therapist | 1565 Saxon Blvd, Deltona, FL 32725-5876 | 2017-07-28 |
| 1851828628 | Kristin Hallberg | Physical Therapist | 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | 2017-05-11 |
| 1962941807 | Ability Health Services and Rehabilitation Lp | Durable Medical Equipment & Medical Supplies | 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | 2017-02-13 |
| 1750766838 | Marc Rosa | Physical Therapist | 1565 Saxon Blvd, Ste 301, Deltona, FL 32725-5876 | 2015-07-30 |
| 1134504285 | Anthony Kim | Chiropractor | 1565 Saxon Blvd, Suite 103, Deltona, FL 32725-5876 | 2015-07-29 |
| 1083095608 | Bryan Michael Phillips | Massage Therapist | 1565 Saxon Blvd, Ste 301, Deltona, FL 32725-5876 | 2015-06-10 |
| 1649673112 | Amye-marie Gross Wichael | Physical Therapist | 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | 2014-09-29 |
| 1154739126 | Sean Colman | Physical Therapy Assistant | 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | 2014-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
| 1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
| 1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
| 1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
| 1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
| 1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| Find all providers in zip 32725 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841502259 | Emily Wyn Childers | Specialist | 2180 Fireside Rd, Deltona, FL 32738-9557 | 2010-07-14 |
| 1790822682 | Kristina Lawrence Wall | Specialist | 151 Hummingbird St Apt B, Deltona, FL 32725-8059 | 2007-01-31 |
| 1942351861 | Andres F Velasco | Specialist | 1565 Saxon Blvd Ste 103, Deltona, FL 32725 | 2007-01-16 |
| 1164447355 | Maged Samaan | Specialist | 734 Elckam Blvd, Deltona, FL 32725-2626 | 2006-07-12 |
| 1780628396 | John C. Hartwell | Specialist | 840 Deltona Blvd, Suite O, Deltona, FL 32725-7162 | 2006-06-15 |
| 1043637556 | Shayla Torres Sanchez | Specialist | 1565 Saxon Blvd, Deltona, FL 32725-5876 | 2014-03-21 |
| 1013124049 | Advanced Medical Care | Specialist | 734 Elkcam Blvd, Deltona, FL 32725-2626 | 2007-05-17 |
| 1730395930 | Better Medical Inc | Specialist | 734 Elkcam Blvd, Deltona, FL 32725-2626 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758893 | Ursula Olazabal | Specialist | 402 N Babcock St Ste 101, Melbourne, FL 32935-7335 | 2020-10-18 |
| 1043818529 | Michele Rosenthal | Specialist | 425 Greenwich Circle, #107, Jupiter, FL 33458-4809 | 2020-10-15 |
| 1184230096 | Lauren Daisey Woodruff | Specialist | 4440 Nelson Ave, Sarasota, FL 34231-7515 | 2020-09-17 |
| 1699385823 | Suzanne Denise Moe | Specialist | 48 Nw 4th St, Homestead, FL 33030-5942 | 2020-08-03 |
| 1437768033 | Coastal Injury Clinic LLC | Specialist | 2700 Riverside Ave Ste 1, Jacksonville, FL 32205-8233 | 2020-07-29 |
| 1417566712 | Angela Berry Williams | Specialist | 5175 W Atlantic Ave Ste C, Delray Beach, FL 33484-8101 | 2020-07-23 |
| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1316562911 | A School 4 Legends LLC | Specialist | 11565 Se 57th Ct, Belleview, FL 34420-4361 | 2020-06-10 |
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1811518384 | Lori Rubin | Specialist | 8181 W Broward Blvd Ste 204, Plantation, FL 33324-2049 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ALEX DAVID KHROMOV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.