Organization
GERALD M. LEVINE, D.M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZETTE M LEVINE (OFFICE COORDINATOR)
(407) 294-0067
Entity
Organization
Contact information
Practice address
4558 S KIRKMAN RD, ORLANDO, FL 32811-2848
(407) 294-0067
(407) 294-4060
Mailing address
4558 S KIRKMAN RD, ORLANDO, FL 32811-2848
(407) 294-0067
(407) 294-4060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12997
FL
Other
Enumeration date
01/22/2007
Last updated
05/29/2008
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