Provider Demographics
NPI:1033912555
Name:ZAKHARENKO, VLADYSLAV
Entity type:Individual
Prefix:
First Name:VLADYSLAV
Middle Name:
Last Name:ZAKHARENKO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1029 CHILLUM CT
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-5605
Mailing Address - Country:US
Mailing Address - Phone:727-370-8029
Mailing Address - Fax:
Practice Address - Street 1:1029 CHILLUM CT
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-5605
Practice Address - Country:US
Practice Address - Phone:727-370-8029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program