Provider Demographics
NPI:1043253198
Name:LEVIN, JOEL MURRAY (MD)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:MURRAY
Last Name:LEVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8700 N KENDALL DR
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2206
Mailing Address - Country:US
Mailing Address - Phone:305-665-1017
Mailing Address - Fax:305-271-5269
Practice Address - Street 1:8700 N KENDALL DR
Practice Address - Street 2:SUITE 206
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2206
Practice Address - Country:US
Practice Address - Phone:305-665-1017
Practice Address - Fax:305-271-5269
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 12348208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
91965Medicare ID - Type Unspecified
D79498Medicare UPIN