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NPI Code Detail

MEDICARE: JASON EVAN LEVINE MD

MEDICARE:   JASON EVAN LEVINE  MD
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
12086S0122XPlastic and Reconstructive Surgery PhysicianME108919FL
2208200000XPlastic Surgery PhysicianME108919FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851560312
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON EVAN LEVINE MD
Provider Business Mailing Address
First Line : 3702 WASHINGTON ST STE 305
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8287
Country : US
Telephone Number : 754-663-5521
Fax Number : 754-663-5522
Provider Business Practice Location Address
First Line : 3702 WASHINGTON ST STE 305
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8287
Country : US
Telephone Number : 754-663-5521
Fax Number : 754-663-5522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2008
Last Update Date : 03/03/2025

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Directions to “ JASON EVAN LEVINE MD” Practice Location

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