Graduated: 2008
NPI: 1730345943
Practice Locations (2)
SOUTHSIDE DERMATOLOGY, P.A.
1807 3RD ST N
JACKSONVILLE BEACH, FL 322507491
8502056232
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
1893 KINGSLEY AVE
ORANGE PARK, FL 320734491
9043014247
Source: CMS National Downloadable File, September 2026.