Provider Demographics
NPI:1447280003
Name:LEVIN, AMIEL (MD)
Entity type:Individual
Prefix:DR
First Name:AMIEL
Middle Name:
Last Name:LEVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:SUITE #1010
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2891
Mailing Address - Country:US
Mailing Address - Phone:305-531-6829
Mailing Address - Fax:305-531-4704
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:SUITE #1010
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-531-6829
Practice Address - Fax:305-531-4704
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91885207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL271819700Medicaid
FL52258OtherBLUE CROSS BLUE SHIELD
I25442Medicare UPIN
FL52258OtherBLUE CROSS BLUE SHIELD