Individual
JACQUELINE M LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A-C, MPH
Contact information
Practice address
6050 CATTLERIDGE BLVD STE 201, SARASOTA, FL 34232-6028
(941) 365-0655
Mailing address
6050 CATTLERIDGE BLVD STE 201, SARASOTA, FL 34232-6028
(727) 527-5272
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9102538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291798000
—
FL
Enumeration date
11/30/2006
Last updated
03/27/2012
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