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LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC NPI 1679712269


NPI Information

NPI: 1679712269
Provider Name: LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC

Doing Business As: ADVANCED DERMATOLOGY AND COSMETIC SURGERY

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
8501 SW 124TH AVE
SUITE 112
MIAMI, FL
ZIP 33183
Phone: (305) 273-6001
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LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC is a dermatology in Miami, FL. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC NPI is 1679712269. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Dermatology And Cosmetic Surgery.

The provider's business location address is:

8501 SW 124TH AVE
SUITE 112
MIAMI, FL
ZIP 33183-627
Phone: (305) 273-6001
Fax: (305) 273-6097

The provider's authorized official is Nefrita Logan .
The authorized official title is Credentialing Cor and has the following contact phone number (407) 875-2080.

The enumeration date for this NPI number is 2/5/2009 and was last updated on 4/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
2207N00000XDermatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
198046AMEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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