# LARRY R. LEVINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811991540
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS0006010 | FL | — |
| 208D00000X | General Practice Physician | OS6010 | FL | Yes |

## Other

- **Enumeration date:** 06/10/2005
- **Last updated:** 01/22/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 044135000 | — | FL |
| 01 | — | 21762 | BCBS | FL |
| 01 | — | 82873K | MEDICARE | FL |
| 01 | — | E32308 | MEDICARE UPIN | FL |