NPI | 1902145915 |
---|---|
Doing Business As | LEVINE HEART & WELLNESS |
Entity Type | Organization |
Authorized Contact | BETH LEVINE Chief Operating Officer 239-249-1428 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: FL ME72991) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: FL PA9101564) |
Enumeration Date | 2013-02-11 |
Last Update Date | 2014-09-18 |