MEDICARE: 3 BROTHERS AUTO LEASING LLC

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	261QR1100X	Research Clinic/Center

General Provider Information

NPI Number	:	1740038363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	3 BROTHERS AUTO LEASING LLC

Provider Business Mailing Address
First Line	:	2916 N MIAMI AVE STE 621
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33127-3963
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2916 N MIAMI AVE STE 621
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33127-3963
Country	:	US
Telephone Number	:	786-567-7607
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	MARTIN LEVINTON
Credential	:
Telephone Number	:	786-567-7607

Provider Enumeration Date	:	05/08/2024
Last Update Date	:	05/08/2024

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