Provider Demographics
NPI:1184270183
Name:STEPHEN F LEVIN DPM PA
Entity type:Organization
Organization Name:STEPHEN F LEVIN DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST - OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:FARBER
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-973-3535
Mailing Address - Street 1:4202 W WATERS AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1972
Mailing Address - Country:US
Mailing Address - Phone:813-973-3535
Mailing Address - Fax:813-889-0378
Practice Address - Street 1:4202 W WATERS AVE STE 6
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1972
Practice Address - Country:US
Practice Address - Phone:813-973-3535
Practice Address - Fax:813-907-2963
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEPHEN F LEVIN, DPM, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty