Doctor Name: | DR. RICHARD A. LEVERONE |
NPI Number: | 1013008713 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | CH 1772 |
Business Practice Address: | 5136 Central Ave St Petersburg, FL - 33707 |
Business Phone Number: | 7275792500 |
Business Fax Number: | 7275793433 |
Mailing Address: | 2150 49th St.n., Suit F SAINT PETERSBURG |
State: | FL |
Postal Code: | 33710 |
Phone Number: | 7275792500 |
Fax Number: | 7275791060 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 08/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | CH 1772 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |