Provider Demographics
NPI:1184629446
Name:LEVIN, STEPHEN FARBER (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FARBER
Last Name:LEVIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26827 FOGGY CREEK RD
Mailing Address - Street 2:STE 104
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6768
Mailing Address - Country:US
Mailing Address - Phone:813-973-3535
Mailing Address - Fax:813-907-2963
Practice Address - Street 1:26827 FOGGY CREEK RD
Practice Address - Street 2:STE 104
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6768
Practice Address - Country:US
Practice Address - Phone:813-973-3535
Practice Address - Fax:813-907-2963
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2726213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00114860OtherRAILROAD MEDICARE
FL009078400Medicaid
FL390427000Medicaid
FL390427001Medicaid
FL390427001Medicaid
FL65575Medicare PIN
FLU71357Medicare UPIN
FL390427000Medicaid