Provider Demographics
NPI:1578735700
Name:LEVY, YVETTE (MD)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:LEVY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2940 S US HIGHWAY 1
Mailing Address - Street 2:STE C11
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34982-8143
Mailing Address - Country:US
Mailing Address - Phone:954-792-6900
Mailing Address - Fax:954-792-0615
Practice Address - Street 1:4101 NW 4TH ST
Practice Address - Street 2:#109
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2850
Practice Address - Country:US
Practice Address - Phone:954-792-6900
Practice Address - Fax:954-792-0615
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME93638207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine