Individual
MS. RENEE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10911 NW 39TH ST APT 102, SUNRISE, FL 33351-7558
(754) 581-4074
Mailing address
10911 NW 39TH ST APT 102, SUNRISE, FL 33351-7558
(754) 581-4074
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102563
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2918307
—
FL
Enumeration date
12/05/2006
Last updated
05/01/2023
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