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
Phone: (727) 734-4000
Fax: (727) 738-5037
Website:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811991540 | NPPES |
| Florida | MEDICAID | 044135000 | |
| Florida | Other | 21762 | |
| Florida | Other | 82873K | |
| Florida | Other | E32308 |
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