Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 274075300 | FL |
N | 208000000X | Pediatrician | 4301095552 | MI |
N | 2080P0202X | Pediatric Cardiologist | 4301095552 | MI |
N | 2080P0203X | Pediatric Critical Care Doctor | 4301095552 | MI |
N | 2080P0203X | Pediatric Critical Care Doctor | ME94546 | FL |
N | 2080P0214X | Pediatric Pulmonologist | 4301095552 | MI |
NPI | 1124069299 |
---|---|
Provider Name | Dr. Ann Marie Levine |
First Address | Orlando, FL 32839-3716 |
Second Address | Orlando, FL 32839-3716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 22/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
274075300 | (05) | FL |
G07828 | (02) | |
G07828 | (02) | MI |