Provider Demographics
NPI:1013049675
Name:RATLIFF, LEVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:LEVIN
Middle Name:
Last Name:RATLIFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-3844
Mailing Address - Country:US
Mailing Address - Phone:941-575-0088
Mailing Address - Fax:941-575-2319
Practice Address - Street 1:223 WOOD ST
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3844
Practice Address - Country:US
Practice Address - Phone:941-575-0088
Practice Address - Fax:941-575-2319
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0007083111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor