Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ME 54607 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 54607 | FL |
NPI | 1013118009 |
---|---|
Provider Name | Robert Joseph Levine |
First Address | Miami, FL 33176-5319 |
Second Address | Homestead, FL 33033-4705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 10/09/2014 |