Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | ME0044283 | FL |
Y | 208600000X | Surgeon | ME0044283 | FL |
N | 2086S0129X | Vascular Surgeon | ME0044283 | FL |
NPI | 1003933193 |
---|---|
Provider Name | Steven M Levine |
First Address | St Petersburg, FL 33710 |
Second Address | St Petersburg, FL 33710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 23/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0698431 | (05) | FL |
62490 | BLS (01) | FL |
D65366 | (02) |