Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN3799 | FL |
NPI | 1134259518 |
---|---|
Provider Name | Dr. Howard Levine |
First Address | Miami, FL 33176-5101 |
Second Address | Miami, FL 33128-1008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 08/07/2007 |