Individual
CHARLES RYAN LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 335-4000
Mailing address
1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952-7521
(772) 335-4000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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