Leavitt Medical Associates of Florida INC

NPI #1942468434 in Debary, Florida

Provider Information

NPI Number: 1942468434
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: Nov 16, 2011

Practice Location

Address: 2893 ENTERPRISE RD
Address 2: SUITE 100
City: Debary
State: Florida
ZIP Code: 32713-2784
Phone: (386) 789-8600

Authorized Official

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

Specialties & Taxonomy Codes

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

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