MEDICARE: MELISSA LEVY AP

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	171100000X	Acupuncturist	4026	FL

General Provider Information

NPI Number	:	1932664505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LEVY AP

Provider Business Mailing Address
First Line	:	1153 BEACH BLVD
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3445
Country	:	US
Telephone Number	:	904-800-5588
Fax Number	:	904-800-5588

Provider Business Practice Location Address
First Line	:	1153 BEACH BLVD
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3445
Country	:	US
Telephone Number	:	904-800-5588
Fax Number	:	904-800-5588

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

Provider Enumeration Date	:	02/07/2019
Last Update Date	:	05/26/2022

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Directions to “ MELISSA LEVY AP” Practice Location

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