LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC NPI 1083872535

NPI Information

  • NPI: 1083872535
  • Provider Name: LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED DERMATOLOGY AND COSMETIC SURQ
  • Address: 484 US HIGHWAY 1
    STE C
    SEBASTIAN, FL
    ZIP 32958
  • Phone: (772) 646-6100

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NPI Details

LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC is a dermatology in Sebastian, 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 1083872535. 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 Surq.

The provider's business location address is:

484 US HIGHWAY 1
STE C
SEBASTIAN, FL
ZIP 32958-497
Phone: (772) 646-6100
Fax: (772) 646-6110

The provider's authorized official is Amy Declue .
The authorized official title is Director Of Provider Services and has the following contact phone number (407) 875-2080.

The enumeration date for this NPI number is 5/30/2008 and was last updated on 5/10/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic SurgeryNo
2207Q00000XFamily MedicineNo
3208200000XPlastic SurgeryNo
4207N00000XDermatologyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
198046BMEDICARE PINFLORIDA

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: 3/30/2025

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