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 120 International Pkwy 240, Heathrow FL 32746-5031. The organization recently has 9 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Leavitt Medical Associates Of Florida Inc can be contacted via phone (407) 333-4200, or through Declue, Amy via phone (407) 875-2080.

Contact Information

Primary practice address
120 International Pkwy 240 Heathrow FL 32746-5031
Fax: (407) 829-6637
Website:
Authorized official contact:
Name: Declue, Amy

Profile Details

NPI number 1528097284
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 No
Enumeration date Jul 2nd, 2006
Last updated Aug 29th, 2017 - about 8 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 1528097284 NPPES
Florida MEDICAID 256877200

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