Healthcare Provider Details

I. General information

NPI: 1447280003
Provider Name (Legal Business Name): AMIEL LEVIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4302 ALTON RD SUITE #1010
MIAMI BEACH FL
33140-2891
US

IV. Provider business mailing address

4302 ALTON RD SUITE #1010
MIAMI BEACH FL
33140-2891
US

V. Phone/Fax

Practice location:
  • Phone: 305-531-6829
  • Fax: 305-531-4704
Mailing address:
  • Phone: 305-531-6829
  • Fax: 305-531-4704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberME91885
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: