NPI 1124286695
Leavitt Medical Associates of Florida INC
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
MOHS-Micrographic Surgery Physician
Family Medicine Physician
Plastic Surgery Physician
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.