Leavitt Medical Associates of Florida INC

NPI #1023308715 in New Port Richey, Florida

Provider Information

NPI Number: 1023308715
Entity Type: Organization
Organization Name: Leavitt Medical Associates of Florida INC
Subpart: Yes (part of a larger organization)
Parent Organization: LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Primary Specialty: Dermatology
Enumeration Date: Apr 14, 2011
Last Updated: Apr 14, 2011

Practice Location

Address: 2114 SEVEN SPRINGS BLVD
Address 2: SUITE 250
City: New Port Richey
State: Florida
ZIP Code: 34655-3908
Phone: (888) 540-9660

Authorized Official

Name: NEFRITA LOGAN
Title: PROVIDER SERVICE REP
Phone: (407) 875-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X
Dermatology	207N00000X	Primary

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