| Serge Litvinov Md Pa | |
|
2100 E Hallandale Beach Blvd St 202 Hallandale Beach FL 33009-3765 | |
| (957) 239-0578 | |
| Not Available |
| Full Name | Serge Litvinov Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2100 E Hallandale Beach Blvd, Hallandale Beach, Florida |
| Authorized Official Name and Position | Sergey Litvinov (PRESIDENT) |
| Authorized Official Contact | 3058077524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serge Litvinov Md Pa 1835 E Hallandale Beach Blvd St.292 Hallandale Beach FL 33009-4619 Ph: () - | Serge Litvinov Md Pa 2100 E Hallandale Beach Blvd St 202 Hallandale Beach FL 33009-3765 Ph: (957) 239-0578 |
| NPI Number | 1124350368 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 02/12/2010 |
| Medicare PECOS PAC ID | 1456406206 |
|---|---|
| Medicare Enrollment ID | O20090901000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124350368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | ME101966 (Florida) | Primary |
| Provider Name | Sergey P Litvinov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669633129 PECOS PAC ID: 3870659600 Enrollment ID: I20090303000656 |
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