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Individual

GRACE ANGELA LEVY-CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11809 N DALE MABRY HWY, TAMPA, FL 33618-3505
(727) 317-5830
(888) 412-1795
Mailing address
1703 N MCMULLEN BOOTH RD UNIT 764, SAFETY HARBOR, FL 34695-9630
(727) 317-5830
(888) 539-6488

Taxonomy

Speciality
Code
Description
License number
State
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
Primary
ME99689
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09283
BCBS
FL
05
280096900
FL
Enumeration date
08/20/2007
Last updated
04/12/2022
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