Individual
MR. JOHN HAZELTON LEVASSEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2601 S KANNER HWY, STUART, FL 34994-4622
(772) 219-2777
(772) 219-0017
Mailing address
600 VILLAGE SQUARE XING, PALM BEACH GARDENS, FL 33410-4543
(561) 693-0540
(561) 296-6174
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3757
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00416556
RAILROAD MEDICARE
FL
Enumeration date
04/14/2006
Last updated
01/05/2021
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