NPI 1902067671

Leavitt Medical Associates of Florida INC

Organisation Dermatology Physician Palm Coast, FL

Practice location

Address: 3 Pine Cone Dr Suite 102, Palm Coast, FL 32137-8685
Phone: (888) 540-9660
Fax: (407) 875-0518
Mailing address: 2600 Lake Lucien Dr STE 180, Maitland, FL 32751-7235

Authorised official

Name: Amy Declue
Title: Director, Provider Services
Phone: (407) 875-2080

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Florida →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Plastic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in Florida →

Registry record

NPI: 1902067671
Entity type: Organization
NPI issued: 24 Jun 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.