| Doctor Name: | MR. ALEKSANDR V POTASHNIK |
| NPI Number: | 1144214198 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA9101320 |
| Business Practice Address: | 5301 S Congress Ave Bldg. #300 Atlantis, FL - 334621149 |
| Business Phone Number: | 5615484900 |
| Business Fax Number: | 5615484902 |
| Mailing Address: | 5301 S Congress Ave, Bldg. #300 ATLANTIS |
| State: | FL |
| Postal Code: | 334621149 |
| Phone Number: | 5615484900 |
| Fax Number: | 5615484902 |
| NPI Enumeration Date: | 09/06/2005 |
| NPI Last Update Date: | 06/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA9101320 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |