Leavitt, Matt Louis

Leavitt, Matt Louis is an individual health care provider with primary practice located at 260 Lookout Pl Ste 103, Maitland FL 32751-4485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Leavitt, Matt Louis can be contacted via phone (407) 373-0700.

Contact Information

Primary practice address
260 Lookout Pl Ste 103 Maitland FL 32751-4485
Phone: (407) 373-0700
Fax: (407) 333-2140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS5365 Florida

Profile Details

NPI number 1821108341
LBN Legal business name Leavitt, Matt Louis
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 21st, 2016 - about 8 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 1821108341 NPPES
Florida MEDICAID 063702500

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