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NPI 1417838160

NPI 1417838160 : LEVHEALTH WELLNESS CLINIC LLC : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1417838160
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEVHEALTH WELLNESS CLINIC LLC 
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Dates
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    Enumeration Date     |    09/09/2025
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    Last Update Date     |    09/10/2025
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Provider Practice Location Address
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    Address Line         |    1701 W WETHERBEE RD UNIT 770324 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32877-7515
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    Country              |    US
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    Telephone            |    407-923-1181
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 770324 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32877-0324
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    NURSE PRACTITIONER
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    Name                 |     GENEVIEVE  LUBIN 
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    Credential           |    MSN, BA, APRN FNP-BC
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    Telephone            |    407-923-1181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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