Organization
LEAVITT DERMATOPATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DECLUE (DIRECTOR, PROVIDER SERVICES)
(407) 875-2080
Entity
Organization
Contact information
Practice address
1300 NW 17TH AVE STE 130, DELRAY BEACH, FL 33445-2588
(561) 819-0857
(561) 549-0173
Mailing address
151 SOUTHHALL LN, SUITE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 875-0518
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Enumeration date
07/16/2010
Last updated
03/03/2015
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