Healthcare Provider Details

I. General information

NPI: 1972817385
Provider Name (Legal Business Name): GEORGE A. LEVINE, M.D.,P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2010
Last Update Date: 07/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 N KENDALL DR #102
MIAMI FL
33176-2206
US

IV. Provider business mailing address

8700 N KENDALL DR #102
MIAMI FL
33176-2206
US

V. Phone/Fax

Practice location:
  • Phone: 305-279-1532
  • Fax: 305-596-4677
Mailing address:
  • Phone: 305-279-1532
  • Fax: 305-596-4677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GEORGE A LEVINE
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 305-279-1532