Provider Demographics
NPI:1184079998
Name:LEVINE, HAROLD ALLEN (DO)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:ALLEN
Last Name:LEVINE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2995 DREW ST FL 2
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3012
Mailing Address - Country:US
Mailing Address - Phone:727-315-6974
Mailing Address - Fax:813-635-2613
Practice Address - Street 1:1200 7TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1300
Practice Address - Country:US
Practice Address - Phone:866-762-1743
Practice Address - Fax:727-813-1222
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-29
Last Update Date:2023-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLOS68102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024657100Medicaid