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Contact Information

LAUREN LEAVITT, PA
120 INTERNATIONAL PARKWAY
SUITE 300
HEATHROW, FL32746
 Phone: 407-333-4200
 Fax: 407-829-6637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LAUREN LEAVITT · (Female)

NPI # 1457789307
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/30/2013
Last updated 10/30/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA-9107547
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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