Organization
DR. BARRY C LEVINE
Active
Organization
DR. BARRY C LEVINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY C LEVINE D.M.D (PROVIDER)
(813) 985-1066
Entity
Organization
Contact information
Practice address
5250 E FOWLER AVE, TEMPLE TERRACE, FL 33617-2147
(813) 985-1066
Mailing address
5250 E FOWLER AVE, TEMPLE TERRACE, FL 33617-2147
(813) 985-1066
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN8309
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN8309
058-44-5750
FL
Enumeration date
01/29/2016
Last updated
01/29/2016
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