Individual
MARC IVEN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 SE OSCEOLA ST STE 100, STUART, FL 34994-2114
(772) 223-2115
(772) 223-9238
Mailing address
3500 SW CENTER CT, PALM CITY, FL 34990-2312
(177) 222-2115
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME56758
FL
208VP0014X
Interventional Pain Medicine Physician
ME56758
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17953
BCBS
—
Enumeration date
06/08/2006
Last updated
12/22/2021
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