Provider Demographics
NPI:1538440185
Name:LEVERONE, ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:LEVERONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11270 4TH ST N
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-2937
Mailing Address - Country:US
Mailing Address - Phone:727-217-0990
Mailing Address - Fax:727-217-9256
Practice Address - Street 1:11270 4TH ST N
Practice Address - Street 2:SUITE 208
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33716-2937
Practice Address - Country:US
Practice Address - Phone:727-217-0990
Practice Address - Fax:727-217-9256
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor