Organization
BRUCE J LEVINE, DPM PA
Active
Organization
BRUCE J LEVINE, DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY CLINT LAIRD (DPM)
(941) 493-8666
Entity
Organization
Contact information
Practice address
2521 COUNTRYSIDE BLVD, CLEARWATER, FL 33763-1605
(727) 797-5008
Mailing address
PO BOX 825159, PHILADELPHIA, PA 19182-5159
(866) 626-1540
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
10/07/2025
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