Individual
MICHAEL LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
4305 BAY CLUB CIR, TAMPA, FL 33607-5967
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9326302
FL
Other
Enumeration date
12/19/2015
Last updated
12/19/2019
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