Individual
ETHAN LEVIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5800 GOLF CLUB PKWY, ORLANDO, FL 32808-4800
(407) 852-3300
Mailing address
1221 W COLONIAL DR, STE. 300, ORLANDO, FL 32804-7163
(407) 852-3300
(407) 852-3301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6549
FL
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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