| Herriet V Tupas Levitan Md Pa | |
|
1925 Mizell Avenue Suite #301 Winter Park FL 32792 | |
| (407) 645-4441 | |
| (407) 645-3242 |
| Full Name | Herriet V Tupas Levitan Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1925 Mizell Avenue, Winter Park, Florida |
| Authorized Official Name and Position | Herriet V Tupas Levitan (PRESIDENT) |
| Authorized Official Contact | 4076454441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Herriet V Tupas Levitan Md Pa Po Box 88 Winter Park FL 32790 Ph: (407) 645-4441 | Herriet V Tupas Levitan Md Pa 1925 Mizell Avenue Suite #301 Winter Park FL 32792 Ph: (407) 645-4441 |
| NPI Number | 1366534018 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 07/06/2010 |
| Medicare PECOS PAC ID | 9335328665 |
|---|---|
| Medicare Enrollment ID | O20110119000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366534018 | NPI | - | NPPES |
| 047659500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 50502 (Florida) | Primary |
| Provider Name | Herriet V Tupas-levitan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821180779 PECOS PAC ID: 6507045838 Enrollment ID: I20110119000657 |
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