DR. CARLOS GUSTAVO LEVY (NPI# 1780789891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780789891 |
| Entity Type | Individual |
| Full Name | DR. CARLOS GUSTAVO LEVY |
| Credential | D.O. |
| Practice Address |
2004 N Flamingo Rd Pembroke Pines FL 33028-3500 |
| Mailing Address |
4780 Sw 64th Ave Ste 103 Davie FL 33314-4400 |
| Practice Telephone | 9544508500 |
| Practice Fax Number | 9544508502 |
| Mailing Telephone | 9544341705 |
| Mailing Fax Number | 9544341882 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS0005566 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 271136200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4780 Sw 64th Ave Ste 101, Davie, FL 333144400 | 9544341705 | 9544341882 |
| Street Address |
2004 N FLAMINGO RD |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33028-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073141156 | Associatesmd Medical Group Inc | Clinic/Center | 2004 N Flamingo Rd, Pembroke Pines, FL 33028-3500 | 2020-04-01 |
| 1861903742 | Ritesh Suresh Patel | Physician Assistant | 2004 N Flamingo Rd, Pembroke Pines, FL 33028-3500 | 2017-10-18 |
| 1154858538 | Associates In Family Practice of Broward LLC | Clinic/Center | 2004 N Flamingo Rd, Pembroke Pines, FL 33028 | 2017-05-17 |
| 1386925360 | Southgate Administrative Services LLC | Clinic/Center | 2004 N Flamingo Rd, Pembroke Pines, FL 33028-3500 | 2011-09-02 |
| 1235258443 | Joseph A Wilson Sr. | Physician Assistant | 2004 N Flamingo Rd, Pembroke Pines, FL 33028-3500 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570276 | Grace Olivine Lue | Nurse Practitioner | 2291 Nw 171 Terrace, Pembroke Pines, FL 33028 | 2018-09-02 |
| 1336658194 | Edna Daniel | Registered Nurse | 16213 Nw 18th Street, Pembroke Pines, FL 33028 | 2017-09-25 |
| 1093257032 | Carlos Eduardo Florian Jr. | Physical Therapist | 701 North Flamingo Road, Pembroke Pines, FL 33028 | 2016-11-08 |
| 1760868574 | Clara Elisa Delgado | Nurse Practitioner | 601 N Flamingo Road Suite 105, Pembroke Pines, FL 33028 | 2015-08-04 |
| 1942614375 | Emmanuel Magboo | Physical Therapist | 1563 Nw 159 Lane, Pembroke Pines, FL 33028 | 2014-06-13 |
| 1134546302 | Tahnie Danastor | Obstetrics & Gynecology | 601 N Flamingo Rd Ste 307, Pembroke Pines, FL 33028 | 2014-03-25 |
| 1316388200 | Mirella Silva-bass | Counselor | 2250 Nw 136 Ave # 100f, Pembroke Pines, FL 33028 | 2013-07-09 |
| 1932447364 | Grazia Oropesa | Nurse Practitioner | 12824 Nw 21st St, Pembroke Pines, FL 33028 | 2013-01-18 |
| 1548545320 | Rita Galliano | Speech-Language Pathologist | 1261 Nw 141st Ave, Pembroke Pines, FL 33028 | 2011-10-12 |
| 1033429949 | Paulette Paul | Registered Nurse | 15575 N.w. 12th Court, Pembroke Pines, FL 33028 | 2010-10-13 |
| Find all providers in zip 33028 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535968 | Staniesha Rodriguez | Family Medicine | 4341 Sw 114th Ter Apt 8406, Pembroke Pines, FL 33025-6644 | 2020-10-14 |
| 1508472937 | Ericka Cheriska | Family Medicine | 900 Sw 125th Way Apt R210, Pembroke Pines, FL 33027-6717 | 2020-09-21 |
| 1629600713 | Maricha Fanega Delacruz-tuason | Family Medicine | 829 Sw 158th Ter, Pembroke Pines, FL 33027-5002 | 2020-02-07 |
| 1407403538 | Yennet Llanes | Family Medicine | 565 Nw 157th Ln, Pembroke Pines, FL 33028-1536 | 2019-08-22 |
| 1366956393 | Claudia Gonzalez | Family Medicine | 293 Sw 179th Ave, Pembroke Pines, FL 33029-3904 | 2017-11-29 |
| 1396258083 | Line Medical Center Inc | Family Medicine | 9050 Pines Blvd Ste 190, Pembroke Pines, FL 33024-6445 | 2017-11-16 |
| 1073963542 | Comprehensive Medical Access ( Cma ) Inc | Family Medicine | 6830 Pines Blvd, Pembroke Pines, FL 33024-7545 | 2016-06-15 |
| 1144601584 | Shukshin Ng | Family Medicine | 626 Sw 106th Ave, Pembroke Pines, FL 33025-6908 | 2015-06-11 |
| 1497174981 | Garcia-juarbe Medical | Family Medicine | 1473 Sw 116th Ave, Pembroke Pines, FL 33025-3771 | 2014-04-10 |
| 1720379753 | Sergio Guiteau | Family Medicine | 1 Sw 129th Ave Ste 205, Pembroke Pines, FL 33027 | 2011-04-25 |
| Find all providers in PEMBROKE PINES | ||||
| City | PEMBROKE PINES |
| Zip Code | 33028 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.