NPI 1770741225

Leavitt Medical Associates of Florida INC

Organisation Dermatology Physician Hollywood, FL

Practice location

Address: 3990 Sheridan St Suite 101, Hollywood, FL 33021-3661
Phone: (954) 894-1616
Fax: (954) 894-9906
Mailing address: 2600 Lake Lucien Dr Suite 180, Maitland, FL 32751-7233

Authorised official

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

Registered specialties (4)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Florida →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Florida →

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Florida →

Registry record

NPI: 1770741225
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.