LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1316217961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316217961 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Other Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Practice Address |
400 W Fairbanks Ave Suite E Winter Park FL 32789-5084 |
| Mailing Address |
2600 Lake Lucien Dr Suite 180 Maitland FL 32751-7233 |
| Practice Telephone | 4076452300 |
| Practice Fax Number | 4073332140 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4078750518 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Authorized Official Name | NEFRITA LOGAN (PROVIDER SERVICES) |
| 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 | 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 |
400 W FAIRBANKS AVE SUITE E |
| City | WINTER PARK |
| State | FL |
| Zip Code | 32789-5084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952368052 | Lawrence T Wagers | Dermatology | 400 W Fairbanks Ave, Suite E, Winter Park, FL 32789-5084 | 2006-05-01 |
| 1124521117 | Yen Le Acupuncture and Co | Clinic/Center | 400 W Fairbanks Ave, Winter Park, FL 32789-5084 | 2018-03-15 |
| 1659816692 | Kim-s Acupuncture Clinic Inc. | Acupuncturist | 400 W Fairbanks Ave, Ste B, Winter Park, FL 32789-5084 | 2016-12-29 |
| 1588904866 | Jessie K Chan | Physician Assistant | 400 W Fairbanks Ave, Ste E, Winter Park, FL 32789-5084 | 2013-02-22 |
| 1992865497 | Jin H Kim | Acupuncturist | 400 W Fairbanks Ave, Ste#b, Winter Park, FL 32789-5084 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590894 | Elisabeth Catherine Williams | Speech-Language Pathologist | 1311 Minnesota Ave, Suite C, Winter Park, FL 32789 | 2019-10-18 |
| 1295213692 | Ruth Stern | Counselor | 1177 Louisiana Ave. Ste 214, Winter Park, FL 32789 | 2018-07-30 |
| 1083128961 | Total Care Home Services of Usa, Corp. | In Home Supportive Care | 1936 Lee Rd Ste 120a, Winter Park, FL 32789 | 2017-11-30 |
| 1346753670 | Hand In Hand Home Care Solutions, LLC | Nursing Care | 2233 Lee Rd, Ste 209, Winter Park, FL 32789 | 2017-11-08 |
| 1932621877 | Alexandra Nichole Paden | Homemaker | 941 W. Morse Blvd. #100, Winter Park, FL 32789 | 2017-07-12 |
| 1093258048 | Embracing Balance Counseling Solutions, LLC | Community/Behavioral Health | 320 Grove Avenue, Winter Park, FL 32789 | 2016-11-23 |
| 1083163968 | Interra Health Inc. | Clinic/Center | 600 N Virginia Ave, Winter Park, FL 32789 | 2016-10-03 |
| 1952850943 | Lena Partynska Dinh | Physical Therapist | 1311 Minnesota Avenue, Suite C, Winter Park, FL 32789 | 2016-10-01 |
| 1003363573 | Meagin Knight Stephenson | Occupational Therapist | 1850 Lee Road #134, Lee World Center, Winter Park, FL 32789 | 2016-09-01 |
| 1093261679 | Bronte Green | Physical Therapist | 811 South Orlando Ave, #h Cora Rehab, Winter Park, FL 32789 | 2016-09-01 |
| Find all providers in zip 32789 | ||||
| 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 |
|---|---|---|---|---|
| 1912403742 | Oasis Dermatology, Pllc | Dermatology | 320 Edinburgh Dr Ste B, Winter Park, FL 32792-4157 | 2018-04-02 |
| 1558707588 | Theo Medical Dermatology, LLC | Dermatology | 652 Saint Johns Ct, Winter Park, FL 32792-4917 | 2013-05-16 |
| 1487957858 | Alfredo E Gonzalez Md Pa | Dermatology | 201 N Lakemont Ave Ste 800, Winter Park, FL 32792-3228 | 2010-12-07 |
| 1952368052 | Lawrence T Wagers | Dermatology | 400 W Fairbanks Ave, Suite E, Winter Park, FL 32789-5084 | 2006-05-01 |
| 1851383053 | Francille M. Macfarland | Dermatology | 1992 Mizell Ave, Ste 100, Winter Park, FL 32792-4109 | 2005-08-16 |
| 1699247262 | Bianca Moon | Dermatology | 483 N Semoran Blvd Ste 210, Winter Park, FL 32792-3800 | 2018-12-20 |
| 1982997086 | Daniel B Seff Do Pa | Dermatology | 2828 Casa Aloma Way, Suite 500, Winter Park, FL 32792-2223 | 2011-05-23 |
| 1689903528 | Jose V Lara, M.d., P.a. | Dermatology | 1840 Greenwich Ave, Winter Park, FL 32789-4012 | 2009-12-23 |
| 1659402840 | Alfredo E Gonzalez | Dermatology | 201 N Lakemont Ave, Suite 800, Winter Park, FL 32792-3208 | 2007-03-08 |
| 1679672315 | Daniel Bennett Seff | Dermatology | 2828 Casa Aloma Way, Suite 500, Winter Park, FL 32792-2223 | 2006-09-21 |
| Find all providers in WINTER PARK | ||||
| City | WINTER PARK |
| Zip Code | 32789 |
Please comment or provide details below to improve the information on LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC.
| 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.