Individual
DR. JASON C. LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 10TH ST N, ST PETERSBURG, FL 33705-1407
(727) 824-8243
(727) 824-8233
Mailing address
PO BOX 12868, ST PETERSBURG, FL 33733-2868
(727) 824-3139
(727) 266-4928
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME99461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278949300
—
FL
01
—
P01217304
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
02/23/2007
Last updated
03/25/2021
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