Individual
DR. MARC L LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
82OO JOG RD., SUITE 205, BOYNTON BEACH, FL 33472
(561) 732-6767
(561) 732-6701
Mailing address
8200 S JOG RD STE 205, BOYNTON BEACH, FL 33472-2981
(561) 732-6767
(561) 732-6701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2016-01663
NC
207RC0000X
Cardiovascular Disease Physician
Primary
ME78197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016-01663
STATE LICENSES
NC
05
—
262170300
—
FL
01
—
46826
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
05/18/2006
Last updated
03/17/2018
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