Healthcare Provider Details

I. General information

NPI: 1639108269
Provider Name (Legal Business Name): DANIEL E LEVIN MD, FACOG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 05/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12550 BISCAYNE BOULEVARD SUITE 604
NORTH MIAMI FL
33181-2544
US

IV. Provider business mailing address

12550 BISCAYNE BOULEVARD SUITE 604
NORTH MIAMI FL
33181-2544
US

V. Phone/Fax

Practice location:
  • Phone: 305-981-0231
  • Fax: 305-981-0232
Mailing address:
  • Phone: 305-981-0231
  • Fax: 305-981-0232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME97667
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number18066
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: