Leavitt Medical Associates Of Florida INC
Dermatology in The Villages, FL. Organization (NPI-2).
Details
- NPI
- 1700044286
- Entity type
- Organization (NPI-2)
- Legal business name
- Leavitt Medical Associates Of Florida INC
- Organization subpart
- Yes
- Enumeration date
- May 30, 2008
- Last updated
- Apr 21, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – | |
| 207NP0225X | Dermatology, Pediatric Dermatology | – | – |
Other names
- Advanced Dermatology And Cosmetic Surgery (Doing Business As)
Practice location
1503 Buenos Aires BlvdThe Villages, FL 32159-6821
Phone 352-753-2812 · Fax 352-753-5037
Mailing address
2600 Lake Lucien Dr Ste 180Maitland, FL 32751-7235
Phone 407-875-2080 · Fax 407-875-0518
Authorized official
Amy Declue
Director, Provider Services
4078752080
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 20 Dermatology Physician providers in The Villages · All 1,406 providers in The Villages
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