Levine, Bruce J

Levine, Bruce J is an individual health care provider with primary practice located at 2521 Countryside Blvd , Clearwater FL 33763-1605. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Levine, Bruce J can be contacted via phone (727) 797-5008.

Contact Information

Primary practice address
2521 Countryside Blvd Clearwater FL 33763-1605
Phone: (727) 797-5008
Fax: (797) 791-1330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1802 Florida

Profile Details

NPI number 1063478196
LBN Legal business name Levine, Bruce J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 11th, 2008 - about 17 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 1063478196 NPPES
Florida MEDICAID 029701100
Florida Other 480011623

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