Individual
ADAM ROSS LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2915 LAKEVIEW DR STE 32730, FERN PARK, FL 32730-2050
(407) 834-9091
Mailing address
120 INTERNATIONAL PKWY STE 240, HEATHROW, FL 32746-5033
(407) 675-6733
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME150502
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME150502
FL
Other
Enumeration date
03/26/2017
Last updated
03/01/2023
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