NPI | 1700965050 |
---|---|
Former Legal Business Name | JEFFREY R LEVENSON MD PA |
Entity Type | Organization |
Authorized Contact | JEFFREY R. LEVENSON Owner 727-384-2479 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME0055609) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2019-05-13 |