NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1649438144 |   |   |   | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC | 151 SOUTHHALL LN | MAITLAND | FL | 327517176 |
1033416565 | TANNER | CARLY |   |   | 151 SOUTHHALL LN | MAITLAND | FL | 327517176 |