Provider Demographics
NPI:1275593097
Name:LEVIN, RONALD MITCHELL (MD, FACP)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MITCHELL
Last Name:LEVIN
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10124 COBBLESTONE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33472-4459
Mailing Address - Country:US
Mailing Address - Phone:267-879-7995
Mailing Address - Fax:
Practice Address - Street 1:10124 COBBLESTONE CREEK DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-4459
Practice Address - Country:US
Practice Address - Phone:267-879-7995
Practice Address - Fax:561-734-5156
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-033794-E207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME151796OtherSTATE MEDICAL LICENSE
PAMD-033794-EOtherSTATE MEDICAL LICENSE
AL3275903OtherDEA NUMBER