Provider Demographics
NPI:1184086571
Name:LEVINE, CARLY ROSE BRAND (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CARLY
Middle Name:ROSE BRAND
Last Name:LEVINE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1150 NW 14TH ST STE 410
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2115
Mailing Address - Country:US
Mailing Address - Phone:305-243-7570
Mailing Address - Fax:305-243-7572
Practice Address - Street 1:8932 SW 97TH AVE STE D
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1936
Practice Address - Country:US
Practice Address - Phone:305-270-5050
Practice Address - Fax:305-270-3846
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME140575208000000X, 208000000X
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program