ETHAN TADD LEVY

TAMPA, FL
NPI1992989768
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9103772)
Enumeration Date2007-12-28
Last Update Date2007-12-28
Business Address
Mr. ETHAN TADD LEVY P.A.-C
3001 N ROCKY POINT DR E
TAMPA, FL 33607-5810
Phone number: 813-289-9613
Mailing Address
Mr. ETHAN TADD LEVY P.A.-C
175 2ND ST S # 1007
SAINT PETERSBURG, FL 33701-4314
Phone number: 352-514-3270
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