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General NPI Number Information
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NPI Number | 1558690768
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Entity Type | Organization
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Legal Business Name | UNIVERSAL MEDICAL CENTER PLLC
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Dates
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Enumeration Date | 12/17/2009
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Last Update Date | 05/16/2011
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Provider Practice Location Address
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Address Line | 3800 S OCEAN DR G3
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2927
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Country | US
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Telephone | 732-735-8312
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 S OCEAN DR SUITE G3
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2927
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Country | US
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Telephone | 732-735-8312
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ALEXANDER LEVIN
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Credential | M.D.
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Telephone | 732-651-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | ME88879
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License Number State | FL
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