Provider Demographics
NPI:1386619963
Name:LEVEEN, ROBERT F (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:LEVEEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3727 SW 92ND DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-8612
Mailing Address - Country:US
Mailing Address - Phone:352-332-2068
Mailing Address - Fax:352-332-0513
Practice Address - Street 1:1601 SW ARCHER RD
Practice Address - Street 2:RADIOLOGY SERVICE
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1135
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:352-379-4044
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2009-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME981702085R0204X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL256142500Medicaid
FL256142500Medicaid
E77381Medicare UPIN