Individual
DR. JOSEPH E LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1106 HOSPITAL RD, NEUROLOGICAL SURGERY DEPARTMENT, FORT WALTON BEACH, FL 32547-6742
(850) 863-8291
(850) 863-7045
Mailing address
1005 MAR WALT DR, FORT WALTON BEACH, FL 32547-6707
(850) 863-8100
(850) 862-2302
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME40581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066861300
—
FL
Enumeration date
12/15/2005
Last updated
10/07/2011
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