Organization
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC.
Active
Parent organization
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC.
Other names
Advanced Dermatology and Cosmetic Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC.
Authorized official
NEFRITA LOGAN (PROVIDER SERVICES REP)
(407) 875-2080
Entity
Organization
Contact information
Practice address
8888 SW 136TH ST, 400, MIAMI, FL 33176-5883
(305) 446-8686
Mailing address
2600 LAKE LUCIEN DR, SUITE 180, MAITLAND, FL 32751-7233
(407) 875-2080
(407) 875-0515
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME35575
FL
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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