Provider Demographics
NPI:1588844013
Name:LEVITT, ROY CLIFFORD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:CLIFFORD
Last Name:LEVITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6223 PARADISE POINT DR
Mailing Address - Street 2:
Mailing Address - City:VILLAGE OF PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-2616
Mailing Address - Country:US
Mailing Address - Phone:305-234-0059
Mailing Address - Fax:
Practice Address - Street 1:1011 NW 15TH ST
Practice Address - Street 2:ROOM 416 GAUTIER BUILDING
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1019
Practice Address - Country:US
Practice Address - Phone:305-297-8339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0024030207L00000X, 207R00000X
FLME113459207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine