LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1164680658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164680658 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Other Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Practice Address |
6705 S Red Rd Suite 518 South Miami FL 33143-3622 |
| Mailing Address |
2600 Lake Lucien Dr Suite 180 Maitland FL 32751-7233 |
| Practice Telephone | 3054031181 |
| Practice Fax Number | 3054031230 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4078750518 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | NEFRITA LOGAN (PRO SER REP) |
| Authorized Official Telephone | 4078752080 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| advanced dermatology and cosmetic surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992095681 | Leavitt Medical Associates of Florida Inc | Dermatology | 3427 Mariner Blvd, Spring Hill, FL 34609-2463 | 2011-04-14 |
| 1477708865 | Leavitt Medical Associates of Florida Inc | Dermatology | 3006 17th St, Saint Cloud, FL 34769-6011 | 2008-11-26 |
| 1952555674 | Leavitt Medical Associates of Florida Inc | Dermatology | 5041 Pine Island Rd Nw, Bokeelia, FL 33922-3269 | 2008-11-07 |
| 1275791758 | Leavitt Medical Associates of Florida Inc | Dermatology | 1816 Salk Ave, Tavares, FL 32778-4300 | 2008-05-30 |
| 1083872535 | Leavitt Medical Associates of Florida Inc | Dermatology | 484 Us Highway 1, Ste C, Sebastian, FL 32958-8497 | 2008-05-30 |
| 1407014996 | Leavitt Medical Associates of Florida Inc | Dermatology | 16100 Ne 16th Ave, North Miami Beach, FL 33162-4708 | 2008-05-30 |
| 1043478522 | Leavitt Medical Associates of Florida Inc | Dermatology | 2101 Us Highway 1, Jupiter, FL 33477-7321 | 2008-05-30 |
| 1710145271 | Leavitt Medical Associates of Florida Inc | Family Medicine | 260 Lookout Pl Ste 103, Maitland, FL 32751-4485 | 2008-05-30 |
| 1417115908 | Leavitt Medical Associates of Florida Inc | Dermatology | 910 Old Camp Rd Ste 166, The Villages, FL 32162-5604 | 2008-05-30 |
| 1427216936 | Leavitt Medical Associates of Florida Inc | Dermatology | 49 Royal Palm Pt Ste 100, Vero Beach, FL 32960-4270 | 2008-05-30 |
| Street Address |
6705 S RED RD SUITE 518 |
| City | SOUTH MIAMI |
| State | FL |
| Zip Code | 33143-3622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452193 | Alberto De Dios Fernandez | Otolaryngology | 6705 S Red Rd, # 704, South Miami, FL 33143-3622 | 2005-07-22 |
| 1013469766 | Anamaris Ibarra | Nurse Practitioner | 6705 S Red Rd, 714, South Miami, FL 33143-3622 | 2016-10-28 |
| 1073064382 | A.desrosiers IIi, M.d., Corp | Plastic Surgery | 6705 S Red Rd, Suite 516, South Miami, FL 33143-3622 | 2016-10-21 |
| 1043664311 | Alexandra Leon | Specialist/Technologist, Other | 6705 S Red Rd, Suite 602, South Miami, FL 33143-3622 | 2016-04-22 |
| 1881048247 | Loh Ophthalmology Associates | Ophthalmology | 6705 S Red Rd, Suite 514, South Miami, FL 33143-3622 | 2016-04-21 |
| 1881094654 | Monsalve Integrative Chiropractic Inc. | Chiropractor | 6705 S Red Rd, Suite 702, South Miami, FL 33143-3622 | 2014-08-29 |
| 1427477983 | Daniel Monsalve | Chiropractor | 6705 S Red Rd, 702, South Miami, FL 33143-3622 | 2014-04-14 |
| 1447500749 | Aina Y Calimano | Audiologist | 6705 S Red Rd, Suite # 704, South Miami, FL 33143-3622 | 2012-09-13 |
| 1780944991 | Murray Ocular Oncology & Retina Inc | Ophthalmology | 6705 S Red Rd, Suite 412, South Miami, FL 33143-3622 | 2012-05-22 |
| 1104106319 | Maria Carolina Montes | Specialist/Technologist, Other | 6705 S Red Rd, Suite 706, South Miami, FL 33143-3622 | 2011-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610395 | Klsirage LLC | Dentist | 8688 Sw 72 St, Miami, FL 33143 | 2020-05-07 |
| 1417577669 | Ahc Diagnostic and Imaging Services | Clinic/Center | 8000 Sw 67th Avenue, Miami, FL 33143 | 2020-04-17 |
| 1841832359 | Haytham Elgammal | Internal Medicine | 7031 Sw 62nd, Miami, FL 33143 | 2019-10-16 |
| 1326504077 | Zavita Life Health & Wellness | Clinic/Center | 6104 S Dixie Hwy, Miami, FL 33143 | 2019-02-19 |
| 1629548706 | Floridacare Medical Centers Inc | Internal Medicine | 434 Sw 12 Ave, Miami, FL 33143 | 2018-11-30 |
| 1649766197 | Demys D Gonzalez | Nurse Practitioner | 6705 Sw 57th Ave Ste 522, South Miami, FL 33143 | 2018-07-09 |
| 1225529373 | Marjory P Camargo Bermejo | Behavior Technician | 7368sw 80 Street Plaza Apto 168, Mi, Miami, FL 33143 | 2018-05-24 |
| 1609365147 | Foot Ankle and Knee Mri LLC | Clinic/Center | 7520 Sw 57th Ave Ste A, South Miami, FL 33143 | 2018-05-09 |
| 1871082024 | Healing Counseling Services, LLC | Counselor | 8100 Sw 81st Street Drive, Suite 276, Miami, FL 33143 | 2018-05-03 |
| 1750882957 | Aba Therapy & Instruction Corp | Behavioral Analyst | 8101 Camino Real Apt C-204, Miami, FL 33143 | 2018-02-22 |
| Find all providers in zip 33143 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629483516 | Michael Brandon Lipp | Dermatology | 7000 Sw 62nd Ave Ste 401, Larkin Community Hospital Graduate Medical Education, South Miami, FL 33143-4721 | 2014-06-30 |
| 1356637300 | Julie Frederickson Forero | Dermatology | Larkin Community Hospital, 7031 Sw 62 Avenue, South Miami, FL 33143 | 2011-06-28 |
| 1326362385 | Martha Helena Viera | Dermatology | 6705 Sw 57th Ave Ste 400, South Miami, FL 33143-3638 | 2010-03-19 |
| 1497806459 | Dermatology Group of Florida, P.a. | Dermatology | 7800 Sw 57th Ave Ste 611, South Miami, FL 33143-5528 | 2007-01-16 |
| 1720098916 | Delilah A Alonso | Dermatology | 6705 S Red Rd Ste 518, South Miami, FL 33143-3649 | 2006-08-09 |
| 1285613984 | Peter H. Wendschuh | Dermatology | 7330 Sw 62nd Place, S. 300., South Miami, FL 33143 | 2006-01-11 |
| 1083131395 | Akhil Gupta | Dermatology | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2017-08-28 |
| 1225497464 | Jacquiline Habashy | Dermatology | 7031 Sw 62nd Ave, South Miami, FL 33143 | 2016-02-16 |
| 1265822340 | Jordan Fabrikant, D.o., P.a. | Dermatology | 6140 Sw 70th St, Second Floor, South Miami, FL 33143-3419 | 2015-01-28 |
| 1376864926 | Adriane Vega Pompa | Dermatology | 6705 Sw 57th Ave, Suite 314, South Miami, FL 33143-3622 | 2010-06-17 |
| Find all providers in SOUTH MIAMI | ||||
| City | SOUTH MIAMI |
| Zip Code | 33143 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.