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NPI Code Detail

MEDICARE: BRUCE J LEVINE DPM PA

MEDICARE: BRUCE J LEVINE DPM 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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1508670910
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRUCE J LEVINE DPM PA
Provider Business Mailing Address
First Line : PO BOX 825159
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19182-5159
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8215 STATE ROAD 54 STE 2
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-3016
Country : US
Telephone Number : 727-376-6060
Fax Number :
Authorized Official
Title or Position : DPM
Name : BRUCE LEVINE
Credential :
Telephone Number : 727-797-5008
Provider Enumeration Date : 02/05/2025
Last Update Date : 02/05/2025

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