Levine, David Alan

Levine, David Alan is an sole proprietor health care provider with primary practice located at 4957 38Th Ave N Ste B, St Petersburg FL 33710-2174. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Levine, David Alan can be contacted via phone (727) 522-8878.

Contact Information

Primary practice address
4957 38Th Ave N Ste B St Petersburg FL 33710-2174
Phone: (727) 522-8878
Fax: (727) 521-1192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X ME51828 Florida

Profile Details

NPI number 1114914249
LBN Legal business name Levine, David Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Feb 4th, 2010 - about 16 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 1114914249 NPPES
Florida Other 07794 BCBS
Florida MEDICAID 038968400 BCBS

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