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NPI Code Detail

MEDICARE: MRS. CAMILLA LEVRAN

MEDICARE: MRS. CAMILLA LEVRAN
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
12355S0801XSpeech-Language AssistantS16211FL

General Provider Information

NPI Number : 1588411847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAMILLA LEVRAN
Provider Business Mailing Address
First Line : 9802 PEPPER TREE TER APT 208
Second Line :
City : WILDWOOD
State : FL
Zip : 34785-7559
Country : US
Telephone Number : 973-727-3735
Fax Number :
Provider Business Practice Location Address
First Line : 619 W DIXIE AVE
Second Line :
City : LEESBURG
State : FL
Zip : 34748-2602
Country : US
Telephone Number : 352-805-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2024
Last Update Date : 05/03/2024

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Directions to “ MRS. CAMILLA LEVRAN ” Practice Location

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