| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1538327036 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC | 151 SOUTHHALL LN | MAITLAND | FL | 327517176 | |||
| 1417955584 | LACK | EDWARD | B | 151 SOUTHHALL LN | MAITLAND | FL | 327517176 | |
| 1083662159 | NELSON | TONY | JOHN | 151 SOUTHHALL LN STE 300 | MAITLAND | FL | 327517172 |