| Vitaly Levintov | |
|
3140 Shady Lily Ln Land O Lakes FL 34638-8018 | |
| (813) 407-2068 | |
| Not Available |
| Full Name | Vitaly Levintov |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3140 Shady Lily Ln, Land O Lakes, Florida |
| Authorized Official Name and Position | Vitaly G Levintov (DENTIST) |
| Authorized Official Contact | 8134072068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitaly Levintov 33160 Us 19 N Palm Harbor FL 34684-3127 Ph: (813) 563-0872 | Vitaly Levintov 3140 Shady Lily Ln Land O Lakes FL 34638-8018 Ph: (813) 407-2068 |
| NPI Number | 1851844781 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 07/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851844781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22210 (Florida) | Primary |
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