Levine, Bonnie Louise

Levine, Bonnie Louise is an sole proprietor health care provider with primary practice located at 2699 Stirling Rd Ste 301302A , Fort Lauderdale FL 33312-6517. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Levine, Bonnie Louise can be contacted via phone (954) 965-4922.

Contact Information

Primary practice address
2699 Stirling Rd Ste 301302A Fort Lauderdale FL 33312-6517
Fax: (954) 515-1184
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3079802 Florida

Profile Details

NPI number 1235246372
LBN Legal business name Levine, Bonnie Louise
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Mar 6th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235246372 NPPES
Florida MEDICAID 300917300

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