Organization
MICHAEL J LEVITT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LEVITT MD (OWNER)
(813) 496-1075
Entity
Organization
Contact information
Practice address
4519 GEORGE RD, STE 100, TAMPA, FL 33634-7329
(813) 496-1075
Mailing address
4519 GEORGE RD, STE 100, TAMPA, FL 33634-7329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/20/2012
Last updated
10/20/2012
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