Provider Demographics
NPI:1356444830
Name:LEVY, DAVID ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:401 SW 88TH TERRACE
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1452
Mailing Address - Country:US
Mailing Address - Phone:352-331-2020
Mailing Address - Fax:352-331-2019
Practice Address - Street 1:7106 NW 11TH PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3157
Practice Address - Country:US
Practice Address - Phone:352-331-2020
Practice Address - Fax:352-331-2019
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0070513207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BL4893271OtherBNDD
FLME0070513OtherFL LICENSE
31765Medicare ID - Type Unspecified
BL4893271OtherBNDD