Organization
ADVANCED DERMATOLOGY OF VIRGINIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATT LEAVITT DO (OWNER)
(407) 875-2080
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE STE 1100, ALEXANDRIA, VA 22304-1311
(703) 370-0073
Mailing address
151 SOUTHHALL LN, SUITE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
10/25/2023
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