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Tisha Leavitt
NPI 1114443140 · on the registry since 2017 · sole proprietor
Practice
- Address
- 17615 Franjo Rd
Palmetto Bay, FL 33157 - Phone
- (786) 268-2611
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 104100000X
- Sex
- Female
- Record last updated
- 2017-10-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida