Individual
GUY ERNEST LEVERETT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 RIVERSIDE DR E, SUITE 2200, BRADENTON, FL 34208-1008
(941) 748-3376
(941) 748-7562
Mailing address
841 SYMPHONY ISLES BLVD, APOLLO BEACH, FL 33572-2714
(813) 641-0377
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0002464
FL
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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