Individual
MARTIN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5865 N UNIVERSITY DR, TAMARAC, FL 33321-4617
(954) 721-5520
Mailing address
5865 N UNIVERSITY DR, TAMARAC, FL 33321-4617
(954) 721-5520
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1019
FL
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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