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LEVMED LLC NPI 1356829113


NPI Information

NPI: 1356829113
Provider Name: LEVMED LLC

Doing Business As: LEVMED HEALTH

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2147054

Address:
1519 DR MARTIN LUTHER KING JR ST N
SAINT PETERSBURG, FL
ZIP 33704
Phone: (727) 314-6472
Get Directions

LEVMED LLC is a primary care clinic center in Saint Petersburg, FL. LEVMED LLC NPI is 1356829113. The provider is registered as an organization entity type.
The provider Is Doing Business As Levmed Health.

The provider's business location address is:

1519 DR MARTIN LUTHER KING JR ST N
SAINT PETERSBURG, FL
ZIP 33704-201
Phone: (727) 314-6472
Fax: (727) 619-2310

The provider's authorized official is Brett Stephen Levine .
The authorized official title is Physician/owner and has the following contact phone number (727) 314-6472.

The CLIA number assigned to this NPI record is 10D2147054 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2018 and was last updated on 8/3/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareOS12495FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1012768800MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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