Individual
TIMOTHY M DUNLEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6827 FIRST AVENUE SOUTH, SUITE 100, ST PETERSBURG, FL 33707-4516
(727) 341-0551
(727) 341-0332
Mailing address
6827 FIRST AVENUE SOUTH, SUITE 100, ST PETERSBURG, FL 33707-4516
(727) 341-0551
(727) 341-0332
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME90735
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1122688
AMERIGROUP
FL
05
—
270640700
—
FL
01
—
304555
AVMED
FL
01
—
3624154
AETNA
FL
01
—
4799071
CIGNA
FL
01
—
49580
BCBS FL
FL
Enumeration date
11/09/2005
Last updated
06/20/2014
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