Leavitt, Andrew Clark

Leavitt, Andrew Clark is an individual health care provider with primary practice located at 3801 S Kanner Hwy Ste 300 , Stuart FL 34994-4801. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Leavitt, Andrew Clark can be contacted via phone (772) 288-5881.

Contact Information

Primary practice address
3801 S Kanner Hwy Ste 300 Stuart FL 34994-4801
Phone: (772) 288-5881
Fax: (772) 223-5996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME0056754 Florida
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X ME0056754 Florida
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME0056754 Florida

Profile Details

NPI number 1538235569
LBN Legal business name Leavitt, Andrew Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Apr 15th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538235569 NPPES
Florida MEDICAID 015084000
Florida Other 10401

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