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NPI Code Detail

MEDICARE: LARRY R. LEVINE D.O.

MEDICARE: LARRY R. LEVINE D.O.
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
1208D00000XGeneral Practice PhysicianOS6010FL
2207Q00000XFamily Medicine PhysicianOS0006010FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
382873KOTHERFLMEDICARE
4E32308OTHERFLMEDICARE UPIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
221762OTHERFLBCBS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811991540
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARRY R. LEVINE D.O.
Provider Business Mailing Address
First Line : 703 VIRGINIA ST
Second Line : V J DILELLA DO, LLC
City : DUNEDIN
State : FL
Zip : 34698-6615
Country : US
Telephone Number : 727-734-4000
Fax Number : 727-738-5037
Provider Business Practice Location Address
First Line : 703 VIRGINIA ST
Second Line : V J DILELLA, DO LLC
City : DUNEDIN
State : FL
Zip : 34698-6615
Country : US
Telephone Number : 727-734-4000
Fax Number : 727-738-5037
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 01/22/2019

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Directions to “ LARRY R. LEVINE D.O.” Practice Location

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