MEDICARE: MATTHEW MICHAEL LEVITSKY MD

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	207X00000X	Orthopaedic Surgery Physician	ME163907	FL

General Provider Information

NPI Number	:	1083145924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW MICHAEL LEVITSKY MD

Provider Business Mailing Address
First Line	:	6101 PINE RIDGE RD STE 101
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34119-3900
Country	:	US
Telephone Number	:	239-449-3072
Fax Number	:	877-334-1886

Provider Business Practice Location Address
First Line	:	130 TAMIAMI TRL N STE 220
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34102-6233
Country	:	US
Telephone Number	:	239-312-7800
Fax Number	:	239-423-9233

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

Provider Enumeration Date	:	03/22/2017
Last Update Date	:	10/16/2025

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