Provider Demographics
NPI:1760786248
Name:LEBOWITZ, MAURICE DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:DAVID
Last Name:LEBOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 NE 102ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33138-2617
Mailing Address - Country:US
Mailing Address - Phone:305-757-1255
Mailing Address - Fax:305-758-1140
Practice Address - Street 1:1285 NE 102ND ST
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2617
Practice Address - Country:US
Practice Address - Phone:305-757-1255
Practice Address - Fax:305-758-1140
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL14036208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery