# JON I LEVIN DO PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205824794
- **Authorized official:** JON I LEVIN DO (OWNER)
- **Authorized official phone:** (863) 494-6694

## Contact information

- **Practice address:** 938 N MILLS AVE, ARCADIA, FL 34266-8780
- **Practice address phone:** (863) 494-6694
- **Practice address fax:** (863) 494-0406
- **Mailing address:** 938 N MILLS AVE, ARCADIA, FL 34266-8780
- **Mailing address phone:** (863) 494-6694
- **Mailing address fax:** (863) 494-0406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 057941 | FL | — |
| 208D00000X | General Practice Physician | 057941 | FL | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 11/01/2007