Individual
GINA MARIE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1430 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2134
(772) 877-3591
Mailing address
1430 SW SAINT LUCIE WEST BLVD, PORT ST LUCIE, FL 34986-2134
(772) 877-3591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9268953
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9268953
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9268953
FL
Other
Enumeration date
09/11/2018
Last updated
10/05/2018
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