Levine, Larry R.

Levine, Larry R. is an individual health care provider with primary practice located at 703 Virginia St V J Dilella, Do Llc, Dunedin FL 34698-6615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Levine, Larry R. can be contacted via phone (727) 734-4000.

Contact Information

Primary practice address
703 Virginia St V J Dilella, Do Llc Dunedin FL 34698-6615
Fax: (727) 738-5037
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X OS6010 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS0006010 Florida

Profile Details

NPI number 1811991540
LBN Legal business name Levine, Larry R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jan 22nd, 2019 - about 6 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 1811991540 NPPES
Florida MEDICAID 044135000
Florida Other 21762
Florida Other 82873K
Florida Other E32308

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