IndividualActive
Alex Favelukes, MD
NPI 1790874717 · Nuclear Radiology Physician · Orange City, FL
Provider details
- NPI number
- 1790874717
- Entity type
- Individual
- Primary specialty
- Nuclear Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME95755 (FL)
Practice location
942 Saxon Blvd Ste 1a
Orange City, FL 32763-8358
Phone: (386) 456-5293
Fax: (386) 456-5142
Mailing address
942 Saxon Blvd Ste 1a
Orange City, FL 32763-8358
Registry dates
- Enumerated
- 2006-10-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.