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Organization

LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC

Active
Other names
Advanced Dermatology and Cosmetic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
NEFRITA LOGAN (PROVIDER REPRESENTATIVE)
(407) 875-2080
Entity
Organization

Contact information

Practice address
410 CELEBRATION PL, SUITE 301, CELEBRATION, FL 34747-5433
(407) 566-1616
(407) 566-1617
Mailing address
2600 LAKE LUCIEN DR, SUITE 180, MAITLAND, FL 32751-7233
(407) 875-2080
(407) 875-0518

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
04/02/2009
Last updated
04/02/2009
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