Provider Demographics
NPI:1093429557
Name:LEVY, GUY (DC)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:
Last Name:LEVY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2154 ANCHOR CT
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-5208
Mailing Address - Country:US
Mailing Address - Phone:954-825-7506
Mailing Address - Fax:
Practice Address - Street 1:1650 SE 17TH ST STE 103
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33316-1735
Practice Address - Country:US
Practice Address - Phone:954-368-5483
Practice Address - Fax:954-301-3833
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14358111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor