Provider Demographics
NPI:1891983045
Name:LEVOIR, BRIDGID (MD)
Entity Type:Individual
Prefix:
First Name:BRIDGID
Middle Name:
Last Name:LEVOIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BRIGID
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2815 1ST AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8608
Mailing Address - Country:US
Mailing Address - Phone:727-321-9614
Mailing Address - Fax:727-323-7068
Practice Address - Street 1:2815 1ST AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8608
Practice Address - Country:US
Practice Address - Phone:727-321-9614
Practice Address - Fax:727-323-7068
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99978207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine