MEDICARE: DR. LEV AMINOV PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P1200X	Pharmacotherapy Pharmacist	PS49043	FL

General Provider Information

NPI Number	:	1518210889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEV AMINOV PHARM D

Provider Business Mailing Address
First Line	:	1912 S OCEAN DR APT 7B
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-5955
Country	:	US
Telephone Number	:	954-662-8896
Fax Number	:

Provider Business Practice Location Address
First Line	:	346 E DANIA BEACH BLVD
Second Line	:
City	:	DANIA
State	:	FL
Zip	:	33004-3020
Country	:	US
Telephone Number	:	954-926-6410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2012
Last Update Date	:	10/23/2012

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