Provider Demographics
NPI:1760773220
Name:LEVITT, ANDREW GREGORY (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GREGORY
Last Name:LEVITT
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Gender:M
Credentials:DPM
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Mailing Address - Street 1:4915 E BASELINE RD
Mailing Address - Street 2:STE 121
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-2969
Mailing Address - Country:US
Mailing Address - Phone:480-812-3668
Mailing Address - Fax:480-782-1290
Practice Address - Street 1:8851 BOARDROOM CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4888
Practice Address - Country:US
Practice Address - Phone:239-481-7000
Practice Address - Fax:239-481-8150
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2021-07-27
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Provider Licenses
StateLicense IDTaxonomies
AZ0854213ES0103X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery