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Individual

LARRY P LEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 CLINT MOORE RD, STE. 125, BOCA RATON, FL 33487-2768
(561) 939-0800
(561) 939-0820
Mailing address
673 LAKEWOODE CIR W, DELRAY BEACH, FL 33445-4315
(561) 865-0331

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
FLME0048220
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02728
BLUE CROSS BLUE SHIELD
FL
01
245357
AETNA
FL
Enumeration date
01/23/2006
Last updated
10/01/2007
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