Whalio Doctors

NPI 1124286695

Leavitt Medical Associates of Florida INC

Organisation Dermatology Physician Fort Lauderdale, FL

Practice location

Address
5721 NE 27th Ave, Fort Lauderdale, FL 33308-2703
Phone
(954) 772-0416
Fax
(954) 772-5716
Mailing address
2600 Lake Lucien Dr Suite 180, Maitland, FL 32751-7233

Authorised official

Name
Nefrita Logan
Title
Pro Ser Rep
Phone
(407) 875-2080

Registered specialties (4)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Plastic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208200000X

Registry record

NPI
1124286695
Entity type
Organization
NPI issued
30 May 2008
Record last updated
21 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.