Individual
DR. MARC LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 S ORANGE AVE, ORLANDO, FL 32806-2945
(407) 540-1000
(407) 540-1011
Mailing address
1720 S ORANGE AVE STE 500, ORLANDO, FL 32806-2967
(407) 540-1000
(407) 540-1011
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
ME0063770
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254274900
—
FL
01
—
43517
BCBS FL
FL
Enumeration date
05/20/2006
Last updated
06/27/2019
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