Individual
MITCHELL ROBERT LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3600 CARDINAL POINT DRIVE, JACKSONVILLE, FL 32257
(904) 737-4626
(904) 737-2126
Mailing address
3600 CARDINAL POINT DRIVE, JACKSONVILLE, FL 32257
(904) 737-4626
(904) 737-2126
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10789
FL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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