MEDICARE: BRUCE LEVIN MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	32837	FL

General Provider Information

NPI Number	:	1396863361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRUCE LEVIN MD PA

Provider Business Mailing Address
First Line	:	5258 LINTON BLVD STE 102
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6529
Country	:	US
Telephone Number	:	561-495-0337
Fax Number	:	561-496-1719

Provider Business Practice Location Address
First Line	:	5258 LINTON BLVD STE 102
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6529
Country	:	US
Telephone Number	:	561-495-0337
Fax Number	:	561-496-1719

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRUCE S LEVIN
Credential	:	MD
Telephone Number	:	561-495-0337

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/22/2020

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