Leavitt Medical Associates of Florida INC

NPI #1144488628 in Clermont, Florida

Provider Information

NPI Number: 1144488628
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: May 30, 2008
Last Updated: Aug 25, 2010

Practice Location

Address: 1920 DON WICKHAM DR
Address 2: SUITE 330
City: Clermont
State: Florida
ZIP Code: 34711-1918
Phone: (352) 241-4298

Authorized Official

Name: AMY DECLUE
Title: DIRECTOR, PROVIDER SERVICES
Phone: (407) 875-2080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Pediatric Dermatology — Pediatric Dermatology	207NP0225X
Family Medicine	207Q00000X
Plastic Surgery	208200000X
Dermatology	207N00000X	Primary

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