| Larry Levinson Do Pa | |
|
4700 Sheridan St # A Hollywood FL 33021-3420 | |
| (954) 964-1585 | |
| (954) 964-4977 |
| Full Name | Larry Levinson Do Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4700 Sheridan St # A, Hollywood, Florida |
| Authorized Official Name and Position | Larry K Levinson (SOLE OWNER) |
| Authorized Official Contact | 9549641585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Levinson Do Pa 4700 Sheridan St # A Hollywood FL 33021-3420 Ph: (954) 964-1585 | Larry Levinson Do Pa 4700 Sheridan St # A Hollywood FL 33021-3420 Ph: (954) 964-1585 |
| NPI Number | 1588851026 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 3577509124 |
|---|---|
| Medicare Enrollment ID | O20050705000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588851026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS0005489 (Florida) | Primary |
| Provider Name | Larry Levinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174572531 PECOS PAC ID: 9830135490 Enrollment ID: I20121030000573 |
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