Provider Demographics
NPI:1598775397
Name:LEVITATS, MERON J (MD)
Entity Type:Individual
Prefix:MR
First Name:MERON
Middle Name:J
Last Name:LEVITATS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:3170 N FEDERAL HWY
Mailing Address - Street 2:#204
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6700
Mailing Address - Country:US
Mailing Address - Phone:954-785-0900
Mailing Address - Fax:954-786-3497
Practice Address - Street 1:3170 N FEDERAL HWY
Practice Address - Street 2:#204
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-6700
Practice Address - Country:US
Practice Address - Phone:954-785-0900
Practice Address - Fax:954-786-3497
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0016147207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL048741400Medicaid
FLD84925Medicare UPIN
FL06822Medicare ID - Type Unspecified