Grant Levy, Tatia

Grant Levy, Tatia is an individual health care provider with primary practice located at 3100 E Fletcher Ave Emergency Dept, Tampa FL 33613-4613. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Grant Levy, Tatia can be contacted via phone (813) 971-6000.

Contact Information

Primary practice address
3100 E Fletcher Ave Emergency Dept Tampa FL 33613-4613
Phone: (813) 971-6000
Fax: (813) 615-7590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS7331 Florida

Profile Details

NPI number 1215923511
LBN Legal business name Grant Levy, Tatia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Dec 31st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215923511 NPPES
Florida MEDICAID 267036400
Florida Other 78698
Florida Other P00041157

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