Advanced Dermatology And Cosmetic Surgery
LBN: Leavitt Medical Associates Of Florida Inc
Advanced Dermatology And Cosmetic Surgery is an health care organization with primary practice located at 1720 Dunlawton Ave Ste 2 , Port Orange FL 32127-2916. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Leavitt Medical Associates Of Florida Inc can be contacted via phone (386) 322-8310, or through Declue, Amy via phone (407) 875-2080.
Contact Information
Primary practice address
1720 Dunlawton Ave Ste 2
Port Orange FL 32127-2916
Phone: (386) 322-8310
Fax: (386) 322-8370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X |
Profile Details
| NPI number | 1093973588 |
|---|---|
| LBN Legal business name | Leavitt Medical Associates Of Florida Inc |
| DBA Doing business as | Advanced Dermatology And Cosmetic Surgery |
| Authorized official | Declue, Amy |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 30th, 2008 |
| Last updated | Apr 21st, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093973588 | NPPES |
| Florida | MEDICAID | 256877216 |
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