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Provider Information for 1275797011


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RALPH LEVINSON EdD


Sex: Male

NPI: 1275797011
Last Updated: 2008-07-10
Certification Date:

Details

NameValue
NPI1275797011
Enumeration Date2008-07-10
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
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
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)FLSW3131License
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 104100000X - Social Worker FLSW3131