Provider Demographics
NPI:1295524148
Name:LEVENTIS, GEORGE (PA-C)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:LEVENTIS
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8695 WINNING FIELDS RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-3402
Mailing Address - Country:US
Mailing Address - Phone:727-480-5810
Mailing Address - Fax:
Practice Address - Street 1:8695 WINNING FIELDS RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-3402
Practice Address - Country:US
Practice Address - Phone:727-480-5810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant