Individual
DR. SERGEY P LITVINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 N MILITARY TRL STE B, WEST PALM BEACH, FL 33409-2901
(561) 932-4665
Mailing address
521 LESLIE DR, HALLANDALE BEACH, FL 33009-2901
(954) 362-7570
(954) 362-7559
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME101966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000445300
—
FL
01
—
BK050Z
MEDICARE PTAN
FL
Enumeration date
06/18/2008
Last updated
08/19/2021
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