Organization
FORT LAUDERDALE SURGICAL SPECIALISTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN SCOTT LEVINE MD (OWNER/ PRESIDENT)
(954) 202-0242
Entity
Organization
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
ME42654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374861800
—
FL
Enumeration date
09/29/2006
Last updated
09/18/2007
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