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Individual

DR. ISAAC LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7770 DAVIE ROAD EXT, HOLLYWOOD, FL 33024-2516
(954) 450-1808
(954) 450-4884
Mailing address
9937 PINES BLVD, PEMBROKE PINES, FL 33024-2810
(954) 450-1808
(954) 450-4884

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME47852
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0932
DIMENSIONS
FL
01
09505
BLUE CROSS/SHIELD
FL
01
1692964
CIGNA
FL
01
17093
HUMANA
FL
01
209040
AVMED
FL
Enumeration date
11/30/2005
Last updated
10/11/2019
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