LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1215160445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215160445 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Other Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Practice Address |
3816 Hollywood Blvd Suite 205 Hollywood FL 33021-6750 |
| Mailing Address |
2600 Lake Lucien Dr Suite 180 Maitland FL 32751-7233 |
| Practice Telephone | 9549665409 |
| Practice Fax Number | 9549660852 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4078750518 |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | NEFRITA LOGAN (PROVIDER SERVICE REP) |
| Authorized Official Telephone | 4078750518 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | FL | 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 |
3816 HOLLYWOOD BLVD SUITE 205 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-6750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082017 | George Franklin Jacobson | Podiatrist | 3816 Hollywood Blvd, Suite 206, Hollywood, FL 33021-6750 | 2005-09-02 |
| 1689075699 | Medical Care Hospitalist LLC | Hospitalist | 3816 Hollywood Blvd, Suite 102, Hollywood, FL 33021-6750 | 2014-09-09 |
| 1821425935 | Therapeutic Harmony LLC | Counselor | 3816 Hollywood Blvd, Ste 102, Hollywood, FL 33021-6750 | 2013-10-03 |
| 1932485224 | Continuum Medical Group Inc | Specialist | 3816 Hollywood Blvd, Unit 102, Hollywood, FL 33021-6750 | 2011-10-31 |
| 1518285030 | Gary L Goldfaden Md Pa | Dermatology | 3816 Hollywood Blvd, Suite 205, Hollywood, FL 33021-6750 | 2010-05-07 |
| 1003133489 | Broward Podiatry Associates, Pa | Podiatrist | 3816 Hollywood Blvd, Suite 206, Hollywood, FL 33021-6750 | 2010-04-26 |
| 1427291640 | Randesha Marvaeauna Robinson | Massage Therapist | 3816 Hollywood Blvd, Suite# 102, Hollywood, FL 33021-6750 | 2009-04-17 |
| 1043490584 | Allan Rubin Do Pa | Ophthalmology | 3816 Hollywood Blvd, Ste 101, Hollywood, FL 33021 | 2007-11-13 |
| 1003007014 | Delray Family Practice Inc | General Practice | 3816 Hollywood Blvd, Suite 102, Hollywood, FL 33021-6750 | 2007-08-05 |
| 1437355112 | Wise Ophthalmology Group, P.a. | Specialist | 3816 Hollywood Blvd, Ste 101, Hollywood, FL 33021-6750 | 2007-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| 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 |
|---|---|---|---|---|
| 1699125856 | Fl Optometry Care Pa | Dermatology | 3550 Emerald Pointe Dr, Apt 304a, Hollywood, FL 33021-1380 | 2016-06-20 |
| 1811062086 | A Center for Dermatology Pa | Dermatology | 3990 Sheridan Street, Suite 101, Hollywood, FL 33021-3655 | 2006-11-22 |
| 1053483420 | Louis Simonson | Dermatology | 1720 Harrison Street, Suite 8a, Hollywood, FL 33020-6828 | 2006-11-14 |
| 1275635294 | Sobel & Sofman Md Pa | Dermatology | 4340 Sheridan Street, Suite 101, Hollywood, FL 33021 | 2006-09-01 |
| 1114995057 | Stuart A Sobel | Dermatology | 4340 Sheridan St, Ste 101, Hollywood, FL 33021 | 2006-03-08 |
| 1053308965 | Eduardo T Weiss | Dermatology | 3850 Hollywood Blvd, Suite 301, Hollywood, FL 33021-6748 | 2005-10-05 |
| 1700374667 | Elite Podiatry LLC | Dermatology | 3381 N 41st Ct, Hollywood, FL 33021-1940 | 2018-04-26 |
| 1245621697 | South Broward Hospital District | Dermatology | 1150 N 35th Ave, Suite 495, Hollywood, FL 33021-5424 | 2015-02-06 |
| 1760873194 | Shah Dermatology LLC | Dermatology | 24035 Three Notch Rd, Hollywood, MD 20636-4871 | 2015-02-06 |
| 1114361730 | Nicole M Rochet | Dermatology | 3850 Hollywood Blvd Ste 301, Hollywood, FL 33021-6745 | 2013-04-25 |
| Find all providers in HOLLYWOOD | ||||
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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.