Level 4 Surgical LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

LEVEL 4 SURGICAL LLC

Practice address

50 SW 6TH Ave Apt 603
Florida City, FL 33034-4784

Phone

(786) 298-4335

NPI assigned

Oct 22, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marina Y VarivodaNPI 1942728548

Title

President

Phone

(786) 298-4335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marina Varivoda, PA

  • Physician Assistant
  • Florida City, FL
  • NPI 1942728548
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1265031033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SW 6TH AVE APT 603",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330344784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SW 6TH AVE APT 603",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330344784",
            "telephone_number": "786-298-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL 4 SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "VARIVODA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-298-4335"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Florida City, FL
• Providers in Florida City, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.