Leavitt, Adam Ross
Leavitt, Adam Ross is an sole proprietor health care provider with primary practice located at 2915 Lakeview Dr Ste 32730 , Fern Park FL 32730-2050. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Leavitt, Adam Ross can be contacted via phone (407) 834-9091.Contact Information
Primary practice address
2915 Lakeview Dr Ste 32730
Fern Park FL 32730-2050
Phone: (407) 834-9091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME150502 | Florida |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME150502 | Florida |
Profile Details
| NPI number | 1720519226 |
|---|---|
| LBN Legal business name | Leavitt, Adam Ross |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2017 |
| Last updated | Mar 1st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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