Provider Demographics
NPI:1639108269
Name:LEVIN, DANIEL E (MD, FACOG)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:E
Last Name:LEVIN
Suffix:
Gender:M
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12550 BISCAYNE BOULEVARD
Mailing Address - Street 2:SUITE 604
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2544
Mailing Address - Country:US
Mailing Address - Phone:305-981-0231
Mailing Address - Fax:305-981-0232
Practice Address - Street 1:12550 BISCAYNE BOULEVARD
Practice Address - Street 2:SUITE 604
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2544
Practice Address - Country:US
Practice Address - Phone:305-981-0231
Practice Address - Fax:305-981-0232
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18066207VG0400X
FLME97667207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS03278868Medicaid
FL280915000Medicaid
FLA1772ZMedicare UPIN
MS03278868Medicaid
FL280915000Medicaid
MS160000630Medicare Oscar/Certification