Individual
JONATHAN SCOTT LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 N FEDERAL HWY, SUITE # 101, FORT LAUDERDALE, FL 33308-4618
(954) 202-0242
(954) 202-0243
Mailing address
4801 N FEDERAL HWY, SUITE # 101, FORT LAUDERDALE, FL 33308-4618
(954) 202-0242
(954) 202-0243
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 42654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001401391
UNITED HEALTH CARE
FL
01
—
1711423
CIGNA
FL
01
—
243332
AVMED
FL
05
—
374861800
—
FL
Enumeration date
07/25/2006
Last updated
07/08/2007
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