LARRY R. LEVINE (NPI# 1811991540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811991540 |
| Entity Type | Individual |
| Full Name | LARRY R. LEVINE |
| Credential | D.O. |
| Practice Address |
703 Virginia St V J Dilella, Do LLC Dunedin FL 34698-6615 |
| Mailing Address |
703 Virginia St V J Dilella Do, LLC Dunedin FL 34698-6615 |
| Practice Telephone | 7277344000 |
| Practice Fax Number | 7277385037 |
| Mailing Telephone | 7277344000 |
| Mailing Fax Number | 7277385037 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | OS0006010 | FL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | OS6010 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 044135000 | 05 | |
| FL | MEDICARE | 82873K | 01 |
| FL | MEDICARE UPIN | E32308 | 01 |
| FL | BCBS | 21762 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023143013 | Larry Martin Levine | Optometrist | 501 New Rd, Groveland Center, Somers Point, NJ 08244-2064 | 2007-02-22 |
| 1316983638 | Larry Alan Levine | Dentist | 7070 Beracasa Way, Boca Raton, FL 33433-3447 | 2006-06-22 |
| 1720297120 | Larry Levine | Occupational Therapist | 1110 Prim Rd, Colchester, VT 05446-6403 | 2007-05-22 |
| 1144257338 | Larry B Levine | Family Medicine | 520 Saybrook Rd, Suite N100, Middletown, CT 06457-4700 | 2006-06-26 |
| 1962473223 | Larry Levine | Physical Medicine & Rehabilitation | 3801 University Lake Dr, Anchorage, AK 99508-4639 | 2006-01-26 |
| Street Address |
703 VIRGINIA ST V J DILELLA, DO LLC |
| City | DUNEDIN |
| State | FL |
| Zip Code | 34698-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881065746 | Marlena Dietrich | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2015-10-16 |
| 1164891644 | Katherine D Dellangelo | Clinical Nurse Specialist | 703 Virginia St, Dunedin, FL 34698-6615 | 2015-09-15 |
| 1407286479 | Cheryl Blank | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-11-12 |
| 1881026102 | Erika S Carelli | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-08-09 |
| 1972944015 | Lori Ann Borja | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-07-16 |
| 1861738817 | Rhonda Gary Jackson | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698 | 2012-12-19 |
| 1033454624 | Latosha Maria Negrete | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2012-12-07 |
| 1861769671 | Dynamic Health Care Services,llc | Clinic/Center | 703 Virginia St, Dunedin, FL 34698-6615 | 2011-11-22 |
| 1649547563 | Brooke Chiodo | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2011-11-21 |
| 1265757553 | Leah Yang Faucett | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2010-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245711803 | Surgcenter Clearwater, LLC | Clinic/Center | 980 Milwaukee Avenue, Dunedin, FL 34698 | 2018-08-22 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| 1487168506 | Dunedin Chiropractic Inc | Chiropractor | 1059 Broadway Suite C, Dunedin, FL 34698 | 2017-11-28 |
| 1578072039 | Changesu | Clinic/Center | 998 Emerson Drive, Dunedin, FL 34698 | 2017-09-27 |
| 1144680042 | Diane Chonacki | Social Worker | 1835 Santa Barbara Dr, Dunedin, FL 34698 | 2016-03-04 |
| 1801201157 | Beverly Sorrells | Acupuncturist | 595 Main Street, Suite 201, Dunedin, FL 34698 | 2014-06-25 |
| 1215275623 | Izabela Kowal | Internal Medicine | 1460 Beltrees St Ste 1, Dunedin, FL 34698 | 2013-01-18 |
| 1588923346 | Kim T Rohr, Dc Pa | Chiropractor | 1000 Bass Blvd, Dunedin, FL 34698 | 2012-05-14 |
| 1235437500 | Caryn Daley Mcclintock | Registered Nurse | 1930 Dunloe Circle, Dunedin, FL 34698 | 2011-03-10 |
| 1295043073 | Chmiel Corp | Assisted Living Facility | 3240 Cr #1, Dunedin, FL 34698 | 2010-09-15 |
| Find all providers in zip 34698 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861418204 | Robert B. Wyko, D.o.,p.a. | General Practice | 1022 Main St, Suite M, Dunedin, FL 34698-5238 | 2006-07-15 |
| 1891730685 | Robert B Wyko | General Practice | 180 Patricia Ave, Dunedin, FL 34698-8103 | 2006-06-17 |
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| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
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| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.