LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1811155377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811155377 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Other Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Practice Address |
10075 Jog Rd Suite 203 Boynton Beach FL 33437-3535 |
| Mailing Address |
2600 Lake Lucien Dr Suite 180 Maitland FL 32751-7233 |
| Practice Telephone | 5612446100 |
| Practice Fax Number | 5612446200 |
| 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 |
10075 JOG RD SUITE 203 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33437-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467497529 | Florida Eye & Plastic Surgery Associates Inc | Ophthalmology | 10075 Jog Rd, Suite 301, Boynton Beach, FL 33437-3535 | 2006-06-20 |
| 1487839635 | Idl Medical Pa | Family Medicine | 10075 Jog Rd, Suite 101, Boynton Beach, FL 33437-3535 | 2008-01-07 |
| 1003090937 | Ira Spinner Dpm Pa | Podiatrist | 10075 Jog Rd, Ste 208, Boynton Beach, FL 33437-3536 | 2007-12-27 |
| 1366639262 | Angelos Koutsonikolis Md Pa | Allergy & Immunology | 10075 Jog Rd, Suite 100, Boynton Beach, FL 33437-3535 | 2007-09-25 |
| 1982728705 | Diana Gorokhovsky | Family Medicine | 10075 Jog Rd, Suite 101, Boynton Beach, FL 33437-3535 | 2007-03-19 |
| 1356475628 | Susan Beth Leifer | Nurse Practitioner | 10075 Jog Rd, Suite 203, Boynton Beach, FL 33437-3535 | 2007-03-16 |
| 1407980105 | Ira Martin Fine Mdpa | Internal Medicine | 10075 Jog Rd, Suite 202, Boynton Beach, FL 33437-3535 | 2007-03-15 |
| 1174695332 | Jeffrey S Schottland, Md Pa | Otolaryngology | 10075 Jog Rd, Suite 107, Boynton Beach, FL 33437-3535 | 2006-11-14 |
| 1972688612 | Deborah Ullian Kashdan | Physician Assistant | 10075 Jog Rd, Suite 108, Boynton Beach, FL 33437-3535 | 2006-10-25 |
| 1851473524 | Kathleen P Kurit | Nurse Practitioner | 10075 Jog Rd, Suite 207, Boynton Beach, FL 33437-3535 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
| 1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
| 1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
| 1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
| 1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| 1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
| Find all providers in zip 33437 | ||||
| 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 |
|---|---|---|---|---|
| 1750646428 | Michael L. Shelling, Md, LLC | Dermatology | 10075 S Jog Rd Ste 206, Boynton Beach, FL 33437-3536 | 2012-07-09 |
| 1346546587 | Amelia G Damse | Dermatology | 10151 Enterprise Ctr Ste 204, Boynton Beach, FL 33437-3761 | 2011-02-06 |
| 1730365099 | Lynora A Curtis | Dermatology | 10817 S Jog Rd, Suite 236, Boynton Beach, FL 33437-0911 | 2008-01-17 |
| 1154422327 | Robyn Dale Siperstein | Dermatology | 9897 Hagen Ranch Road, Boynton Beach, FL 33472-7401 | 2006-09-26 |
| 1871696021 | James Devoursney | Dermatology | 7740 Boynton Beach Blvd, Boynton Beach, FL 33437-3804 | 2006-09-06 |
| 1801902846 | William I Roth | Dermatology | 10075 Jog Rd Ste 206, Boynton Beach, FL 33437-3536 | 2006-08-22 |
| 1902810401 | Timothy A Nielsen | Dermatology | 2620 S Seacrest Blvd, Boynton Beach, FL 33435 | 2006-07-28 |
| 1295784320 | Moum & Nielsen Pa | Dermatology | 2620 S Seacreat Blvd, Boynton Beach, FL 33435 | 2006-05-08 |
| 1821050949 | Rama Vaitla | Dermatology | 7740 Boynton Beach Blvd., Boynton Beach, FL 33437 | 2006-04-04 |
| 1548241573 | Joshua Matthew Berlin | Dermatology | 10383 Hagen Ranch Rd Ste 100, Boynton Beach, FL 33437 | 2005-11-08 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33437 |
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.