Provider Information for 1275797011
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RALPH LEVINSON EdD
Sex: Male
NPI: 1275797011
Last Updated: 2008-07-10
Certification Date:
Certification Date:
Details
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NPI | 1275797011 | ||||||||
Enumeration Date | 2008-07-10 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1000 N HIATUS RD SUITE: 160 PEMBROKE PINES, FL 33026-3097 United States Phone: 954-431-9838 | Fax:954-433-7066 | ||||||||
Primary Practice Address | 1000 N HIATUS RD SUITE: 160 PEMBROKE PINES, FL 33026-3097 United States Phone: 954-431-9838 | Fax:954-433-7066 | ||||||||
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