Individual
DR. MITCHELL LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 NW 82ND AVE, SUITE 203, PLANTATION, FL 33324-7808
(954) 473-0553
(954) 473-0893
Mailing address
201 NW 82ND AVE, SUITE 203, PLANTATION, FL 33324-7808
(954) 473-0553
(954) 473-0893
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0026721
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0648004
CIGNA
FL
01
—
29729
EMPIRE BC/BS
FL
01
—
P00020471
RAIL ROAD MEDICARE
FL
Enumeration date
09/07/2006
Last updated
04/19/2011
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