Bruce J Levine
Foot & Ankle Surgery
2521 Countryside Blvd
Clearwater
, Florida 33763-1605
Bruce J Levine
Foot & Ankle Surgery
2521 Countryside Blvd
Clearwater
, Florida 33763-1605
(797) 791-1330
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Bruce J Levine
- 2521 Countryside Blvd
- Clearwater, FL
- Zip : 33763-1605
- Fax : (797) 791-1330
- Phone : (727) 797-5008
Second Address
- Bruce J Levine
- 2521 Countryside Blvd
- Clearwater, FL
- Zip : 33763-1605
- Fax : (797) 791-1330
- Phone : (727) 797-5008
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | PO1802 | FL |
National Provider Identifier
| NPI | 1063478196 |
|---|---|
| Provider Name | Bruce J Levine |
| First Address | Clearwater, FL 33763-1605 |
| Second Address | Clearwater, FL 33763-1605 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 11/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 029701100 | (05) | FL |
| 480011623 | RAILROAD MEDICARE (01) | FL |
| T88578 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.