Organization
BRUCE J LEVINE DPM PA
Active
Other names
Foot & Ankle Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE J LEVINE D.P.M. (PRESIDENT)
(727) 797-5008
Entity
Organization
Contact information
Practice address
2521 COUNTRYSIDE BLVD, CLEARWATER, FL 33763-1605
(727) 797-5008
(727) 791-8517
Mailing address
2521 COUNTRYSIDE BLVD, CLEARWATER, FL 33763-1605
(727) 797-5008
(727) 791-8517
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL7309
RAILROAD MEDICARE
FL
Enumeration date
08/29/2006
Last updated
01/23/2026
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