Individual
LEVI MARCELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1115 E RIDGEWOOD ST, ORLANDO, FL 32803-5443
(407) 841-1100
(407) 843-7983
Mailing address
22 UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 648-3800
(407) 872-7754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11009037
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11009037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112654900
—
FL
Enumeration date
09/15/2020
Last updated
12/03/2025
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