OrganizationActive
Advanced Dermatology of Maryland PC
NPI 1841025558 · Dermatology Physician · Olney, MD
Provider details
- NPI number
- 1841025558
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advanced Dermatology of Maryland PC
- Organization subpart
- Yes
- Authorized official
- Matt Leavitt, Owner(407) 875-2080
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Practice location
18109 Prince Philip Dr Ste 370
Olney, MD 20832-1576
Phone: (301) 774-0613
Approximate (ZIP-level) locationGet directions
Mailing address
151 Southhall Ln Ste 300
Maitland, FL 32751-7172
Registry dates
- Enumerated
- 2024-09-03
- Last updated
- 2024-09-03
- Certified
- 2024-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.