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Organization
HERRIET V TUPAS LEVITAN MD PA
Active
Organization
HERRIET V TUPAS LEVITAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERRIET V TUPAS LEVITAN MD PA (PRESIDENT)
(407) 645-4441
Entity
Organization
Contact information
Practice address
1925 MIZELL AVENUE, SUITE #301, WINTER PARK, FL 32792
(407) 645-4441
(407) 645-3242
Mailing address
PO BOX 88, WINTER PARK, FL 32790
(407) 645-4441
(407) 645-3242
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047659500
—
FL
Enumeration date
09/29/2006
Last updated
07/06/2010
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