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 14050 Town Loop Blvd Ste 203 , Orlando FL 32837-6190. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Emergency 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 (407) 852-6650, or through Declue, Amy via phone (407) 875-2080.

Contact Information

Primary practice address
14050 Town Loop Blvd Ste 203 Orlando FL 32837-6190
Phone: (407) 852-6650
Fax: (407) 852-6035
Website:
Map and Directions
Authorized official contact:
Name: Declue, Amy
Phone: (407) 875-2080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1104084672
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 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104084672 NPPES
Florida MEDICAID 256877206

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