Bruce J Levine Dpm PA

NPI #1063371060 in Ellenton, Florida

Provider Information

NPI Number: 1063371060
Entity Type: Organization
Organization Name: Bruce J Levine Dpm PA
Primary Specialty: Podiatrist
Enumeration Date: Jan 16, 2026
Last Updated: Jan 16, 2026

Practice Location

Address: 7915 US HIGHWAY 301 N STE 104
City: Ellenton
State: Florida
ZIP Code: 34222-3532
Phone: (941) 776-5199

Authorized Official

Name: ROY CLINT LAIRD
Title: OWNER
Phone: (941) 493-8666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Durable Medical Equipment & Medical Supplies	332B00000X
Podiatrist	213E00000X	Primary

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