NPI 1215160445
Leavitt Medical Associates of Florida INC
Practice location
- Address
- 3816 Hollywood Blvd Suite 205, Hollywood, FL 33021-6750
- Phone
- (954) 966-5409
- Fax
- (954) 966-0852
- Mailing address
- 2600 Lake Lucien Dr Suite 180, Maitland, FL 32751-7233
Authorised official
- Name
- Nefrita Logan
- Title
- Provider Service Rep
- Phone
- (407) 875-0518
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1215160445
- Entity type
- Organization
- NPI issued
- 4 Sep 2009
- 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.