| David A Levine M D Inc | |
|
4957 38th Ave N Suite B St Petersburg FL 33710-2174 | |
| (727) 522-8878 | |
| (727) 521-1192 |
| Full Name | David A Levine M D Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4957 38th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | David A Levine (OWNER/PRESIDENT) |
| Authorized Official Contact | 7275228878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Levine M D Inc 4957 38th Ave N Suite B St Petersburg FL 33710-2174 Ph: (727) 522-8878 | David A Levine M D Inc 4957 38th Ave N Suite B St Petersburg FL 33710-2174 Ph: (727) 522-8878 |
| NPI Number | 1275853590 |
|---|---|
| Provider Enumeration Date | 06/09/2010 |
| Last Update Date | 06/09/2010 |
| Medicare PECOS PAC ID | 0941332928 |
|---|---|
| Medicare Enrollment ID | O20100712000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275853590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | ME51828 (Florida) | Primary |
| Provider Name | David A Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114914249 PECOS PAC ID: 4587796560 Enrollment ID: I20100712000251 |
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