Provider Demographics
NPI:1306032412
Name:ESTHER LEVIN MD PA
Entity Type:Organization
Organization Name:ESTHER LEVIN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MGR
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-621-3897
Mailing Address - Street 1:495 BILTMORE WAY
Mailing Address - Street 2:STE 400
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5756
Mailing Address - Country:US
Mailing Address - Phone:305-476-5001
Mailing Address - Fax:305-476-5004
Practice Address - Street 1:495 BILTMORE WAY
Practice Address - Street 2:STE 400
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5756
Practice Address - Country:US
Practice Address - Phone:305-476-5001
Practice Address - Fax:305-476-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME78654207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH00649Medicare UPIN
FLK7745Medicare PIN