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NPI Code Detail

MEDICARE: STEPHANIE LEAVITT APRN

MEDICARE: STEPHANIE LEAVITT APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPRN9346936FL

General Provider Information

NPI Number : 1760967012
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LEAVITT APRN
Provider Business Mailing Address
First Line : 7261 SHERIDAN ST STE 360
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-2726
Country : US
Telephone Number : 954-226-0121
Fax Number : 866-981-2156
Provider Business Practice Location Address
First Line : 2951 NW 49TH AVE STE 202
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-1608
Country : US
Telephone Number : 954-486-1250
Fax Number : 954-486-6736
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2018
Last Update Date : 02/02/2026

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Directions to “ STEPHANIE LEAVITT APRN” Practice Location

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