Levin, Jacqueline M

Levin, Jacqueline M is an individual health care provider with primary practice located at 6050 Cattleridge Blvd Ste 201 , Sarasota FL 34232-6028. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Levin, Jacqueline M can be contacted via phone (941) 365-0655.

Contact Information

Primary practice address
6050 Cattleridge Blvd Ste 201 Sarasota FL 34232-6028
Phone: (941) 365-0655
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9102538 Florida

Profile Details

NPI number 1154498384
LBN Legal business name Levin, Jacqueline M
Credentials P.A-C, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Mar 27th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154498384 NPPES
Florida MEDICAID 291798000

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