Individual
MICHAEL DAVID LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5576 W SAMPLE RD, MARGATE, FL 33073-3423
(561) 357-5884
Mailing address
9430 BOCA COVE CIR, 9430 BOCA COVE CIRCLE, BOCA RATON, FL 33428-7751
(561) 271-7590
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA9259
FL
Other
Enumeration date
07/06/2008
Last updated
07/06/2008
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