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Organization

IRA K LEVINE M.D. P.A.

Active
Parent organization
IRA K LEVINE M.D. P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
IRA K LEVINE M.D. P.A.
Authorized official
IRA KEITH LEVINE M.D. (PRESIDENT)
(305) 865-0272
Entity
Organization

Contact information

Practice address
1090 KANE CONCOURSE, SUITE 205, BAY HARBOR ISLANDS, FL 33154-2130
(305) 865-0272
(305) 865-5612
Mailing address
1090 KANE CONCOURSE, SUITE 205, BAY HARBOR ISLANDS, FL 33154-2130
(305) 865-0272
(305) 865-5612

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
49912
FL

Other

Enumeration date
11/10/2010
Last updated
10/16/2014
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