Individual ProviderLeslie LevineInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address660 Glades Rd, Suite 310, Boca Raton, FL 33431-6465(561) 361-3133PECOS EnrollmentBased on the most recent information from CMS, provider Leslie Levine is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1366481939Provider TypeIndividualFull NameLevine, LeslieCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date6/6/2006Last Updated5/16/2008Contact InformationPractice LocationPractice Address660 Glades Rd, Suite 310, Boca Raton, FL 33431-6465Phone(561) 361-3133Fax(561) 361-9695Mailing LocationMailing Address660 Glades Rd, Suite 310, Boca Raton, FL 33431-6465Phone(561) 361-3133Fax(561) 361-9695Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseME 64720FloridaProvider IdentifiersIDDescriptionIssuerID27972DescriptionOtherIssuerBLUE CROSS BLUE SHIELD FLAFloridaIDWDQ97DescriptionOtherIssuerEMPIRE BLUE CROSS BLUE SHIELDFloridaID0005525148DescriptionOtherIssuerAETNAFlorida