Individual
DR. RONALD L. LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 2ND AVE N, SUITE 304, NAPLES, FL 34102-5753
(239) 206-2833
(239) 206-2835
Mailing address
2200 FORREST LN, NAPLES, FL 34102-7621
(239) 249-1428
(239) 384-9324
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME72991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060049426
MEDICARE RR
FL
05
—
255379100
—
FL
01
—
41317
BCBS
FL
01
—
41317Y
MEDICARE
—
01
—
80-0880880
COMPANY TAX IDENTIFICATION NUMBER
FL
Enumeration date
08/26/2005
Last updated
05/06/2013
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