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Provider Information for 1114914249

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DAVID ALAN LEVINE MD

Gender: MALE

Individual NPI: 1114914249

Calendar   Last Updated:  2010-02-04
  Certification Date: 

Details

Name Value
NPI 1114914249
Enumeration Date 2005-10-04
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 4957 38TH AVE N STE B
ST PETERSBURG, FL 33710-2174
United States

Phone: 727-522-8878 | Fax: 727-521-1192
View Map External Link
Primary Practice Address 4957 38TH AVE N STE B
ST PETERSBURG, FL 33710-2174
United States

Phone: 727-522-8878 | Fax: 727-521-1192
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID FL 038968400
Other BCBS FL 07794
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207QG0300X - Family Medicine Geriatric Medicine FL ME51828