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
1800 CORTEZ RD W, BRADENTON, FL 34207-1335
(941) 758-8818
(941) 755-2901
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB2136
RR GROUP #
FL
Enumeration date
01/03/2007
Last updated
01/02/2026
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