Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1447242748
Practice Locations (1)
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
1495 KINGSLEY AVE
ORANGE PARK, FL 320734501
9043544488
Source: CMS National Downloadable File, September 2026.