Leavitt Medical Associates of Florida INC

NPI #1952555674 in Bokeelia, Florida

Provider Information

NPI Number: 1952555674
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: Nov 7, 2008
Last Updated: Aug 24, 2015

Practice Location

Address: 5041 PINE ISLAND RD NW
City: Bokeelia
State: Florida
ZIP Code: 33922-3269
Phone: (239) 829-7102

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	207N00000X	Primary

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