LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1710145271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710145271 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Other Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Practice Address |
260 Lookout Pl Ste 103 Maitland FL 32751-4485 |
| Mailing Address |
2600 Lake Lucien Dr Ste 180 Maitland FL 32751-7235 |
| Practice Telephone | 4073730700 |
| Practice Fax Number | 4073332140 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4078750518 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | AMY DECLUE (DIRECTOR, 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 | 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 |
| 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 |
| 1891953386 | Leavitt Medical Associates of Florida Inc | Dermatology | 725 W Granada Blvd Ste 44, Ormond Beach, FL 32174-9406 | 2008-05-30 |
| Street Address |
260 LOOKOUT PL STE 103 |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-4485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578179479 | Omar Daabies | Physician Assistant | 260 Lookout Pl Ste 103, Maitland, FL 32751-4485 | 2020-09-17 |
| 1134730385 | Daniel Hendricks | Physician Assistant | 260 Lookout Pl Ste 103, Maitland, FL 32751-4485 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| 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 |
|---|---|---|---|---|
| 1174942403 | Jeffrey W Collins | Dermatology | 151 Southhall Ln Ste 300, Maitland, FL 32751-7172 | 2014-04-15 |
| 1457642761 | Brian Thomas | Dermatology | 341 N Maitland Ave Ste 210, Maitland, FL 32751-4771 | 2011-04-21 |
| 1275592842 | Allen Baumal | Dermatology | 151 Southhall Ln, Ste 300, Maitland, FL 32751-7176 | 2006-03-21 |
| 1063404051 | William J Grisaitis | Dermatology | 331 N Maitland Ave, Building A Suite 5, Maitland, FL 32751-4762 | 2005-08-17 |
| 1598257909 | Park North Dermatology, Pa | Dermatology | 341 N Maitland Ave Ste 210, Maitland, FL 32751-4771 | 2018-05-31 |
| 1801342639 | Advanced Dermatology of Virginia Inc | Dermatology | 151 Southhall Ln, Suite 300, Maitland, FL 32751-7176 | 2016-08-31 |
| 1851743587 | Elyse Julian | Dermatology | 260 Lookout Pl, Ste 103, Maitland, FL 32751-4485 | 2016-07-06 |
| 1326433897 | Natalie Kash | Dermatology | 260 Lookout Pl, Maitland, FL 32751-4485 | 2015-04-01 |
| 1952555039 | Derrow Dermatology Associates LLC | Dermatology | 800 N Maitland Ave, Suite #202, Maitland, FL 32751-4489 | 2008-11-16 |
| 1932208006 | Amy Elise Witt | Dermatology | 800 N Maitland Ave, Suite 202, Maitland, FL 32751-4427 | 2006-09-22 |
| Find all providers in MAITLAND | ||||
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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.