Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PO3189 | FL |
N | 222Z00000X | Podiatrist | PO3189 | FL |
N | 213EP1101X | Primary Podiatric Medicine | PO3189 | FL |
N | 111NR0200X | Radiology | PO3189 | FL |
N | 213ER0200X | Radiology | PO3189 | FL |
N | 2081S0010X | Sports Medicine | PO3189 | FL |
N | 213ES0000X | Sports Medicine | PO3189 | FL |
N | 213ES0103X | Foot & Ankle Surgery | PO3189 | FL |
NPI | 1316962848 |
---|---|
Provider Name | Dr. Allan B Levy |
First Address | Boynton Beach, FL 33436-7245 |
Second Address | Boynton Beach, FL 33436-7245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
65901 | BCBS (01) | FL |
U95773 | (02) | FL |