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Individual

MS. CHIENA HADASSA LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-4200
(305) 243-4363
Mailing address
1140 NE 171ST ST, MIAMI, FL 33162-2636
(305) 710-0599

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0007215
MD
363A00000X
Physician Assistant
Primary
PA9114646
FL

Other

Enumeration date
08/28/2019
Last updated
12/11/2022
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