MEDICARE: MR. CHARLES LEBOWITZ 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	207R00000X	Internal Medicine Physician	ME 46024	FL

General Provider Information

NPI Number	:	1982683058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHARLES LEBOWITZ MD

Provider Business Mailing Address
First Line	:	3242 COVE BEND DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-2752
Country	:	US
Telephone Number	:	813-978-1100
Fax Number	:	813-978-1120

Provider Business Practice Location Address
First Line	:	3242 COVE BEND DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33613-2752
Country	:	US
Telephone Number	:	813-978-1100
Fax Number	:	813-978-1120

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	07/27/2010

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