Leavitt Medical Associates of Florida INC

NPI #1710145271 in Maitland, Florida

Provider Information

NPI Number: 1710145271
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: Apr 21, 2010

Practice Location

Address: 260 LOOKOUT PL STE 103
City: Maitland
State: Florida
ZIP Code: 32751-4485
Phone: (407) 373-0700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Plastic Surgery	208200000X
Dermatology	207N00000X	Primary

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