MEDICARE: LEVINE SURGICAL ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1275650467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEVINE SURGICAL ASSOCIATES PA

Provider Business Mailing Address
First Line	:	4957 38TH AVE NORTH
Second Line	:	SUITE C
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710
Country	:	US
Telephone Number	:	727-521-4402
Fax Number	:	727-521-1622

Provider Business Practice Location Address
First Line	:	4957 38TH AVE NORTH
Second Line	:	SUITE C
City	:	ST PETERSBURG
State	:	FL
Zip	:	33710
Country	:	US
Telephone Number	:	727-521-4402
Fax Number	:	727-521-1622

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN M LEVINE
Credential	:	MD
Telephone Number	:	727-521-4402

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	08/22/2020

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Directions to “LEVINE SURGICAL ASSOCIATES PA ” Practice Location

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