institution
Levante Medical Llc
Primary Care Nurse Practitioner in Wildwood, Florida
NPI 1801183397

Levante Medical Llc is a Primary Care Nurse Practitioner based in Fruitland Park, FL and is specialized in Primary Care. Levante Medical Llc practices in Wildwood, FL. The NPI Number for Levante Medical Llc is 1801183397 and holds a License No. ARNP2152202 (Florida).

The current practice location address for Levante Medical Llc is 112 S Main St, Wildwood, FL and can be reached out via phone at 352-250-2610 and via fax at 352-326-9266.

Location: 112 S Main St, Wildwood, FL, 34731-5215
institution
Provider Profile Details
NPI Number
1801183397
Provider Name
Levante Medical Llc
Credential
Provider Entity Type
Organization
Address
112 S Main St, Wildwood, FL, 34731-5215
Phone Number
352-250-2610
Fax Number
352-326-9266
Provider Enumeration Date
07/05/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000360200 01 FL MEDICAID INDIVIDUAL PROVIDER NUMBER - SEE OTHER #'S DESIGNATED FOR LLC
1710186267 01 FL NPI INDIVIDUAL RENDERING PROVIDER
AL386 01 FL MEDICARE INDIVIDUAL PROVIDER NUMBER - SEE OTHER DESIGNATED #'S FOR LLC
institution
Provider Business Practice Location Address Details
Address
112 S Main St
City
State
Zip
34785-4539
Phone Number
352-250-2610
Fax Number
352-326-9266
person
Provider Business Mailing Address Details
Address
112 S Main St
City
State
Zip
34785-4539
Phone Number
352-250-2610
Fax Number
352-326-9266
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
ARNP2152202 (Florida)
Definition
Definition to come...
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