Healthcare Provider Details

I. General information

NPI: 1114411006
Provider Name (Legal Business Name): ZOEY LEVINE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2018
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 W ATLANTIC AVE
DELRAY BEACH FL
33445-4400
US

IV. Provider business mailing address

2655 W ATLANTIC AVE
DELRAY BEACH FL
33445-4400
US

V. Phone/Fax

Practice location:
  • Phone: 561-368-0235
  • Fax: 561-368-0281
Mailing address:
  • Phone: 561-368-0235
  • Fax: 561-368-0281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number2023027612
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberME180852
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: