Advanced Dermatology

LBN: Leavitt Medical Associates Of Florida Inc
Advanced Dermatology is an health care organization with primary practice located at 14546 Old Saint Augustine Rd Suite 407, Jacksonville FL 32258-5468. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Leavitt Medical Associates Of Florida Inc can be contacted via phone (904) 400-6565, or through Logan, Nefrita via phone (407) 875-2080.

Contact Information

Primary practice address
14546 Old Saint Augustine Rd Suite 407 Jacksonville FL 32258-5468
Phone: (904) 400-6565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Logan, Nefrita
Phone: (407) 875-2080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X Florida

Profile Details

NPI number 1366672610
LBN Legal business name Leavitt Medical Associates Of Florida Inc
DBA Doing business as Advanced Dermatology
Authorized official Logan, Nefrita
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 21st, 2009
Last updated Jul 21st, 2009 - 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.

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