Organization
BRUCE J LEVINE DPM PA
Active
Other names
Cortez Foot and Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
ROY CLINT LAIRD (OWNER)
(941) 493-8666
Entity
Organization
Contact information
Practice address
7915 US HIGHWAY 301 N STE 104, ELLENTON, FL 34222-3532
(941) 776-5199
(941) 218-2322
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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