Bruce J Levine DPM

NPI 1063478196 - Podiatrist - 213ES0103X

NPI Details
NPI 1063478196
Gender Male
Enumeration Date 04/26/2006
Last Updated 07/11/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2521 COUNTRYSIDE BLVD
CLEARWATER FL, 33763-1605, US
Phone (727) 797-5008
Fax (797) 791-1330
Business Location
2521 COUNTRYSIDE BLVD
CLEARWATER FL, 33763-1605, US
Phone (727) 797-5008
Fax (797) 791-1330
Toxanomy
Taxonomy Code 213ES0103X
License State Florida
License Number PO1802
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According to our database, Bruce J Levine DPM NPI is 1063478196, taxonomy code is 213ES0103X and license number is PO1802, license state is located at Florida. Bruce J Levine DPM physically located at 2521 Countryside Blvd, Clearwater FL, 33763-1605. NPI Number Bruce J Levine DPM has the Individual type.

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1063478196 NPI number is provided on an as is basis without warranty of any kind. 1063478196 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce J Levine DPM are for informational purposes only.