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Dr. Marc Levicoff, DMD
Student in an Organized Health Care Education/Training Program in Brandon, Florida
NPI 1699309856

Marc Levicoff is a Student in an Organized Health Care Education/Training Program based in Erial, FL. Marc Levicoff practices in Brandon, FL and has the professional credentials of DMD. The NPI Number for Marc Levicoff is 1699309856 and holds a License No. (Florida).

The current practice location address for Marc Levicoff is 313 S Lakewood Dr, Brandon, FL and can be reached out via phone at 813-653-6100.

Location: 313 S Lakewood Dr, Brandon, FL, 08081-4321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699309856
Provider Name
Marc Levicoff
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
313 S Lakewood Dr, Brandon, FL, 08081-4321
Phone Number
813-653-6100
Fax Number
Provider Enumeration Date
02/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
313 S Lakewood Dr
City
Brandon
State
Florida
Zip
33511-2815
Phone Number
813-653-6100
Fax Number
person
Provider Business Mailing Address Details
Address
313 S Lakewood Dr
City
Brandon
State
Florida
Zip
33511-2815
Phone Number
813-653-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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