Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | ME78654 | FL |
NPI | 1013926906 |
---|---|
Provider Name | Esther Levin |
First Address | Coral Gables, FL 33134-5755 |
Second Address | Coral Gables, FL 33134-5755 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 10/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
46951 | BLUE CROSS BLUE SHIELD (01) | FL |
H00649 | (02) | FL |