MEDICARE: MELISSA LEVACK M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	DR.0071563	CO
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	EMC0007326	MI
3	208600000X	Surgery Physician	L-231921	MA
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	ME177975	FL
5	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	14226449-1235	UT
6	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	56241	TN
7	208600000X	Surgery Physician	DR.0071563	CO
8	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	105549	GA

General Provider Information

NPI Number	:	1629273214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LEVACK M.D.

Provider Business Mailing Address
First Line	:	5352 LINTON BLVD STE 100
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6514
Country	:	US
Telephone Number	:	561-638-9140
Fax Number	:	561-404-5035

Provider Business Practice Location Address
First Line	:	5352 LINTON BLVD STE 100
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-6514
Country	:	US
Telephone Number	:	561-638-9140
Fax Number	:	561-404-5035

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	05/01/2026

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