LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1801191101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801191101 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Other Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Practice Address |
2902 59th St W Suite A Bradenton FL 34209-7023 |
| Mailing Address |
151 Southhall Ln Suite 300 Maitland FL 32751-7176 |
| Practice Telephone | 9417570763 |
| Practice Fax Number | 9417570725 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4076503455 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2014-12-04 |
| 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 |
|---|---|---|---|---|---|
| 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 |
2902 59TH ST W SUITE A |
| City | BRADENTON |
| State | FL |
| Zip Code | 34209-7023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942295191 | Carol Lynn Harrington | Nurse Practitioner | 2902 59th St W, Suite M, Bradenton, FL 34209-7023 | 2005-09-14 |
| 1962966937 | Evans Breus | Physician Assistant | 2902 59th St W, Bradenton, FL 34209-7023 | 2019-01-24 |
| 1356886790 | Southwest Florida Medicine Pllc | Family Medicine | 2902 59th St W, Suite C, Bradenton, FL 34209-7021 | 2016-12-20 |
| 1508028994 | David Joseph Christian | Dentist | 2902 59th St W, Suite H, Bradenton, FL 34209-7023 | 2008-06-27 |
| 1932261492 | Kerry J Woosley | Chiropractor | 2902 59th St W, Ste T, Bradenton, FL 34209-7023 | 2006-12-14 |
| 1760580112 | James Joseph Troxler | Nurse Practitioner | 2902 59th St W, Suite C, Bradenton, FL 34209-7021 | 2006-09-20 |
| 1225053309 | Alphonso A Belsito | Specialist | 2902 59th St W, Suite C, Bradenton, FL 34209-7023 | 2006-07-12 |
| 1538115589 | James J Hanusa Md Pllc | Internal Medicine | 2902 59th St W, Suite M, Bradenton, FL 34209-7023 | 2006-05-25 |
| 1023069945 | Bradenton Gastroenterology Pa | Internal Medicine | 2902 59th St W, Suite C, Bradenton, FL 34209-7023 | 2006-05-15 |
| 1508822685 | Bradenton Surgery Center Inc | Clinic/Center | 2902 59th St W, Suites F & G, Bradenton, FL 34209-7023 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828029 | Cairn Clinic, LLC | Massage Therapist | 4701 Manatee Ave. West, Bradenton, FL 34209 | 2019-12-17 |
| 1790341782 | Kyle James Van Benschoten | Physical Therapist | Casa Mora Rehabilitation, Bradenton, FL 34209 | 2019-05-15 |
| 1336679117 | Jennifer Rose Patterson | Nurse Practitioner | 7211 6th Ave Nw, Bradenton, FL 34209 | 2017-06-14 |
| 1972872604 | Manatee Diagnostic Center West | Radiology | 2211 60th St West, Bradenton, FL 34209 | 2011-12-27 |
| 1235406646 | Manatee Diagnostic Center,ltd | Radiology | 2301 60th Street Court West, Suite C, Bradenton, FL 34209 | 2011-11-30 |
| 1073830758 | Melissa Anderson | Occupational Therapy Assistant | 5203 12th Ave Drive West, Bradenton, FL 34209 | 2010-04-21 |
| 1205060993 | Margaret Ann Kirkland | Dentist | 2902 59th St. W., Suite V, Bradenton, FL 34209 | 2009-05-08 |
| 1477791028 | Anna Maria Chiropractic Pllc | Chiropractor | 7315 9th Ave N.w., Bradenton, FL 34209 | 2009-02-04 |
| 1174783393 | The Lombardo Home | Assisted Living Facility | 620 71st Street North West, Bradenton, FL 34209 | 2008-06-11 |
| 1407041072 | Allison Jean Kelly | Occupational Therapist | 5949 17th Avenue W, Bradenton, FL 34209 | 2007-09-07 |
| Find all providers in zip 34209 | ||||
| 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 |
|---|---|---|---|---|
| 1770837189 | Puja Ramji Kathrotiya | Dermatology | 4351 Cortez Rd W Ste 101, Bradenton, FL 34210-3140 | 2012-11-07 |
| 1750600359 | Kate R Gerber | Dermatology | 5301 4th Avenue Cir E, Bradenton, FL 34208-5623 | 2010-05-20 |
| 1669534012 | Beatrice Jennifer Berkes | Dermatology | 702 Manatee Ave W, Bradenton, FL 34205-8663 | 2006-12-14 |
| 1568474344 | Peter J Mattina | Dermatology | 800 39th St W, Bradenton, FL 34205-2456 | 2006-08-12 |
| 1548225329 | Jeffrey S. Beard, M.d.,p.a. | Dermatology | 1416 59th St W, Bradenton, FL 34209-4607 | 2006-04-18 |
| 1962474437 | John William Demetree | Dermatology | 1312 Riverview Cir, Bradenton, FL 34209-1257 | 2006-02-07 |
| 1316934714 | Jack C Jawitz | Dermatology | 2919 26th St W, Bradenton, FL 34205-3737 | 2005-09-30 |
| 1710432828 | Dahlia Saleh | Dermatology | 4351 Cortez Rd W Ste 101, Bradenton, FL 34210-3215 | 2016-08-18 |
| 1275952780 | Taylor Lloyd Dodgen | Dermatology | 11715 Rangeland Pkwy, Bradenton, FL 34211 | 2014-04-11 |
| 1093017774 | Brooks Management | Dermatology | 2919 26th St W, Bradenton, FL 34205-3737 | 2010-12-01 |
| Find all providers in BRADENTON | ||||
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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.