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Individual

LARRY R. LEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
703 VIRGINIA ST, V J DILELLA, DO LLC, DUNEDIN, FL 34698-6615
(727) 734-4000
(727) 738-5037
Mailing address
703 VIRGINIA ST, V J DILELLA DO, LLC, DUNEDIN, FL 34698-6615
(727) 734-4000
(727) 738-5037

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS0006010
FL
208D00000X
General Practice Physician
Primary
OS6010
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044135000
FL
01
21762
BCBS
FL
01
82873K
MEDICARE
FL
01
E32308
MEDICARE UPIN
FL
Enumeration date
06/10/2005
Last updated
01/22/2019
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