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 6919 N Dale Mabry Hwy Ste 325, Tampa FL 33614-3972. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, 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 (813) 875-7333, or through Logan, Nefrita via phone (407) 875-2080.

Contact Information

Primary practice address
6919 N Dale Mabry Hwy Ste 325 Tampa FL 33614-3972
Phone: (813) 875-7333
Fax: (813) 875-8833
Website:
Map and Directions
Authorized official contact:
Name: Logan, Nefrita
Phone: (407) 875-2080

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1649438144
LBN Legal business name Leavitt Medical Associates Of Florida Inc
DBA Doing business as Advanced Dermatology And Cosmetic Surgery
Authorized official Logan, Nefrita
Entity Organization
Organization subpart 1 Yes
Enumeration date May 30th, 2008
Last updated Aug 28th, 2014 - about 10 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 1649438144 NPPES
Florida MEDICAID 256877210

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