# FLORIDA CARE LEVEL MANAGEMENT DIRECT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770569220
- **Authorized official:** RAOUF KHALIL (CEO)
- **Authorized official phone:** (818) 591-3435

## Contact information

- **Practice address:** 23622 CALABASAS RD, STE 250, CALABASAS, CA 91302-1549
- **Practice address phone:** (818) 591-3435
- **Practice address fax:** (818) 591-3440
- **Mailing address:** 3550 BUSCHWOOD PARK DR, SUITE 133, TAMPA, FL 33618-4461
- **Mailing address phone:** (813) 932-3741
- **Mailing address fax:** (813) 932-3992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 08/22/2020