Provider Demographics
NPI:1760461610
Name:LEVINE, STEVEN E (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:E
Last Name:LEVINE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 60124
Mailing Address - Street 2:ATTN: STEVEN LEVINE
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33906-6124
Mailing Address - Country:US
Mailing Address - Phone:239-994-3226
Mailing Address - Fax:239-274-6090
Practice Address - Street 1:4105 W RIVERSIDE DR
Practice Address - Street 2:ATTN: STEVEN LEVINE
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33901-8732
Practice Address - Country:US
Practice Address - Phone:239-994-3226
Practice Address - Fax:239-274-6090
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2014-06-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME39822207ZP0102X, 207ZH0000X, 207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD62338Medicare UPIN
FL36317TMedicare PIN
FL36317YMedicare PIN