Organization · Type 2 NPI

Leavitt Medical Associates of Florida Inc

Dermatology Physician · Ormond Beach, FL

NPI number 1891953386 Active

Practice location

725 W Granada Blvd Ste 44
Ormond Beach, FL 32174-9406

Call (386) 898-0547 Map

Fax (386) 898-0551

Mailing address

2600 Lake Lucien Dr Ste 180
Maitland, FL 32751-7235

Specialties and licenses

Taxonomy	Code	License
Dermatology Physician Primary	207N00000X	None listed
MOHS-Micrographic Surgery Physician	207ND0101X	None listed
Plastic Surgery Physician	208200000X	None listed

Dermatology Physician: 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 an…

2 other providers at this address

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NPI record

NPI: 1891953386
Entity type: Organization (Type 2)
Issued: May 30, 2008
Last updated: Apr 21, 2010
Status: Active
Subpart: Yes of Leavitt Medical Associates of Florida Inc

Other names

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Advanced Dermatology and Cosmetic Surgery · doing business as

Authorized official

Amy Declue
Director, Provider Services
(407) 875-2080

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1891953386

Leavitt Medical Associates of Florida Inc's National Provider Identifier is 1891953386, issued on May 30, 2008. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Ormond Beach, FL. The record was last updated on Apr 21, 2010.