Individual
MS. TIA S LEVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
2316 HOLLYWOOD BLVD, HOLLYWOOD, FL 33020-6703
(954) 925-4499
Mailing address
822 GAZETTA WAY, WEST PALM BEACH, FL 33413-1057
(561) 635-4497
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW377
FL
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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