Healthcare Provider Details

I. General information

NPI: 1891983045
Provider Name (Legal Business Name): BRIDGID LEVOIR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIGID MURPHY MD

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 1ST AVE N
ST PETERSBURG FL
33713-8608
US

IV. Provider business mailing address

2815 1ST AVE N
ST PETERSBURG FL
33713-8608
US

V. Phone/Fax

Practice location:
  • Phone: 727-321-9614
  • Fax: 727-323-7068
Mailing address:
  • Phone: 727-321-9614
  • Fax: 727-323-7068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME99978
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: