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 SERIVCE REP)
(407) 875-2080
Entity
Organization
Contact information
Practice address
1000 N OLIVE AVE, WEST PALM BEACH, FL 33401-3512
(561) 835-2800
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
—
FL
Other
Enumeration date
06/17/2011
Last updated
08/24/2011
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