Individual
JACQUELYN DAUBERT LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
499 NW 70TH AVE STE 100, PLANTATION, FL 33317-7572
(954) 792-6411
(954) 792-6411
Mailing address
499 NW 70TH AVE STE 100, PLANTATION, FL 33317-7572
(954) 792-6411
(954) 792-6411
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME138922
FL
207W00000X
Ophthalmology Physician
MTL003572
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105434300
—
FL
Enumeration date
03/25/2015
Last updated
05/02/2024
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