- OrderEntry

Work Order — Track #1193

Case #1104 • Smith v. Sunshine Grocers Received, Order in Progress

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Order Summary

Location: Adrienne Levy, MD

989 Jericho Turnpike
Smithtown, NY 11787

Phone: (631) 864-7100

Fax: (631) 864-7129

Email: -

Assigned: -

Ordered: 2025-12-03

Due: -

Action Date: -

Records Requested:

Billing

Case & Patient

Attorney: Larry Page

Law Office: Recupera Law

185 Great Neck Rd

Great Neck , NY 11021

Ordered By: joeperri89@gmail.com

Case: Smith v. Sunshine Grocers

Cause #: 25-000123

Claim #: FL-CLM-2025-00987

Docket #: a

Internal File #: -

Patient: Taylor Swift

AKA: AKA_GO

SSN: XXX-XX-8420

DOB: 2000-12-25

Address: 270 Jefferson Ave, Unit 3

City/State/Zip: Fort Lauderdale , CO 86745

Open Case Open Order Open Location

Request Packets

Created	File
No packets.

Facility Invoices

Received	Amount	Status	Actions
No facility invoices.

Payments

Date	Amount	Method	Status	Invoice
No payments.

Records Received

Received	Pages	Type	File
No records received.

Records Requested

Type	Requested	Status	Fulfilled	#
Billing	2025-12-03	Pending	-	-

Tracking Step Log

Received Order, In Progress 12/3/2025 7:35 AM

By: System Client Visible