LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC


Address: 2101 Us Highway 1, Jupiter, FL 33477-7321
Phone: 5617480510

LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1043478522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043478522
Entity Type Organization
Organization Name LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Other Organization Name ADVANCED DERMATOLOGY AND COSMETIC SUR
Practice Address 2101 Us Highway 1
Jupiter
FL 33477-7321
Mailing Address 2600 Lake Lucien Dr
Suite 180
Maitland
FL 32751-7233
Practice Telephone 5617480510
Practice Fax Number 5617480598
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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Advanced Dermatology and Cosmetic Sur Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1891953386 Leavitt Medical Associates of Florida Inc Dermatology 725 W Granada Blvd Ste 44, Ormond Beach, FL 32174-9406 2008-05-30

Office Location

Street Address 2101 US HIGHWAY 1
City JUPITER
State FL
Zip Code 33477-7321

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417576513 Sanctuary Healthcare LLC Home Health 100 Front Street, Suite 300, Jupiter, FL 33477 2020-04-09
1538503669 Aimee Bunyea Pharmacist 1118 11th Court, Jupiter, FL 33477 2013-04-19
1447592571 Blue Water Doctors of Jupiter, LLC Family Medicine 2151 South Alternate A1a, Unit 650, Jupiter, FL 33477 2013-03-27
1477806115 Brad D. Simons, Md,phd, Pa Ophthalmology 2141 Alternate A1a S, Suite 210, Jupiter, FL 33477 2012-10-18
1952688392 Matthew J Harris Orthopaedic Surgery 108 Intracoastal Pointe Drive, Suite 300, Jupiter, FL 33477 2011-11-14
1366720682 Physical Therapy Institute and Aquatic Rehab, Inc. Physical Therapist 17380 N Highway A1a Alternate, Suite 305, Jupiter, FL 33477 2011-08-03
1770714578 Payal P Chokshi Dentist 759 Parkway Street, Suite# 103, Jupiter, FL 33477 2009-07-29
1205089174 Priscilla J Zuckerberg Speech-Language Pathologist 110 Front St Ste 300, Jupiter, FL 33477 2008-10-23
1083866727 Deanna Talmud Social Worker 2044 Staysail Lane, Jupiter, FL 33477 2008-10-14
1417123290 Gayle Gerardi Pulice Massage Therapist 927 North A1a, Suite A105, Jupiter, FL 33477 2008-05-01
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740787183 Paige Wells Dermatology 4600 Military Trl Ste 107, Jupiter, FL 33458-4811 2018-04-11
1033319769 Richard Mayron Dermatology 1095 Military Trail, # 2700, Jupiter, FL 33468 2007-07-20
1972723294 Kristen Marie Aloupis Dermatology 2141 S Alternate A1a Ste 430, Jupiter, FL 33477-4063 2007-04-27
1629610415 Aloupis Dermatology, Pa Dermatology 2141 S Alternate A1a Ste 430, Jupiter, FL 33477-4063 2019-10-13
1124531439 Beer Dermatology Associates Pa Dermatology 641 University Blvd, Suite 212, Jupiter, FL 33458 2017-11-08
1467907105 Group M Dermatology Pa Dermatology 2101 S Us Highway 1, Jupiter, FL 33477-7321 2016-08-23
1477870459 John Paul Kowalczyk Dermatology 4495 Military Trl, Suite 204, Jupiter, FL 33458-4839 2010-04-29
1306012745 Peter A Vitulli Jr D O P A Dermatology 4600 Military Trl, Suite 107, Jupiter, FL 33458-4810 2008-05-06
1801093661 Genesis Dermatology Dermatology 600 Heritage Dr, Suite 100, Jupiter, FL 33458-3000 2007-06-27
1447218276 Peter Andrew Vitulli Jr. Dermatology 4600 Military Trl, Suite 107, Jupiter, FL 33458-4810 2006-05-02
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City JUPITER
Zip Code 33477

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Dataset Information

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.

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