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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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