Individual provider · Type 1 NPI

Ethan Tadd Levy, P.A.-C

Medical Physician Assistant · Tampa, FL

NPI number 1992989768 Active

Practice location

3001 N Rocky Point Dr E
Tampa, FL 33607-5810

Mailing address

175 2nd St S, # 1007
St. Petersburg, FL 33701-4314

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9103772 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1992989768

Ethan Tadd Levy, P.A.-C's National Provider Identifier is 1992989768, issued on Dec 28, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tampa, FL. The record was last updated on Dec 28, 2007.