Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 33613 | FL |
NPI | 1023451937 |
---|---|
Provider Name | Dr. Leonard R. Levy |
First Address | Key Biscayne, FL 33149-2755 |
Second Address | Key Biscayne, FL 33149-2755 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2013 |
Last Update Date | 13/11/2020 |