ADVANCED BAY AREA MEDICAL ASSOCIATES NPI 1700965050

NPI Information

ADVANCED BAY AREA MEDICAL ASSOCIATES is a specialist in St Petersburg, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED BAY AREA MEDICAL ASSOCIATES NPI is 1700965050. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Jeffrey R Levenson Md Pa.

The provider's business location address is:

1700 66TH ST N
SUITE# 510
ST PETERSBURG, FL
ZIP 33710-544
Phone: (727) 384-2479
Fax: (727) 384-3573

The provider's authorized official is Jeffrey R. Levenson .
The authorized official title is Owner and has the following contact phone number (727) 384-2479.

The CLIA number assigned to this NPI record is 10D0957607 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 5/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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