Provider Demographics
NPI:1881673077
Name:LEVITT, ADAM BRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:BRIAN
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 1:80 W MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4453
Mailing Address - Country:US
Mailing Address - Phone:407-648-4323
Mailing Address - Fax:407-648-0968
Practice Address - Street 1:80 W MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-4453
Practice Address - Country:US
Practice Address - Phone:407-648-4323
Practice Address - Fax:407-648-0968
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME915252086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI20737Medicare UPIN