Provider Demographics
NPI:1679680383
Name:LEVITT, DAVID MATTHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MATTHEW
Last Name:LEVITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8135 CENTRALIA CT STE 101
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34788-3759
Mailing Address - Country:US
Mailing Address - Phone:352-394-8060
Mailing Address - Fax:352-708-6420
Practice Address - Street 1:8135 CENTRALIA CT STE 101
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34788-3759
Practice Address - Country:US
Practice Address - Phone:352-394-8060
Practice Address - Fax:352-708-6420
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA29838207R00000X
FLME134012207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F31818Medicare UPIN