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Organization
SERGE LITVINOV MD PA
Active
Organization
SERGE LITVINOV MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGEY LITVINOV MD (PRESIDENT)
(305) 807-7524
Entity
Organization
Contact information
Practice address
2100 E HALLANDALE BEACH BLVD, ST 202, HALLANDALE BEACH, FL 33009-3765
(957) 239-0578
Mailing address
1835 E HALLANDALE BEACH BLVD, ST.292, HALLANDALE BEACH, FL 33009-4619
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
ME101966
FL
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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