LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1295993772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295993772 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Other Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Practice Address |
6100 Glades Rd Suite 304 Boca Raton FL 33434-4325 |
| Mailing Address |
2600 Lake Lucien Dr Suite 180 Maitland FL 32751-7233 |
| Practice Telephone | 5614882689 |
| Practice Fax Number | 5618261881 |
| 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 |
6100 GLADES RD SUITE 304 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33434-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184898819 | Richard J Kitt | Dentist | 6100 Glades Rd, Suite 314, Boca Raton, FL 33434 | 2008-04-14 |
| 1922439710 | Laura E. Skellchock Md Pa | Dermatology | 6100 Glades Rd, Suite 304, Boca Raton, FL 33434-4325 | 2013-12-05 |
| 1467891176 | Integrative Health Institute LLC | Clinic/Center | 6100 Glades Rd, Suite 310, Boca Raton, FL 33434-4325 | 2013-06-17 |
| 1871851246 | Nancy A Corso | Chiropractor | 6100 Glades Rd, Suite 310, Boca Raton, FL 33434-4325 | 2012-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943771 | Solutionist Counseling Services, LLC | Clinic/Center | 9250 West Glades Rd Suite 209, Boca Raton, FL 33434 | 2019-10-14 |
| 1962932582 | Karelys Hernandez | Developmental Therapist | 9293 Southampton Pl, Boca Raton, FL 33434 | 2017-06-15 |
| 1568996007 | Aurelie Huyghues-despointes | Dentist | 3003 W Yamato Rd Ste C5, Boca Raton, FL 33434 | 2017-04-11 |
| 1700334240 | Kinex Medical Company, LLC | Durable Medical Equipment & Medical Supplies | 20555 Boca Rio Road, Unit 1604, Boca Raton, FL 33434 | 2016-09-13 |
| 1952858342 | Melissa Kornhaus | Counselor | 7777 Glades Rd Ste 205, Boca Raton, FL 33434 | 2016-09-02 |
| 1023491800 | D. One Pharmacy Corp. | Pharmacy | 9070 Kimberly Blvd., Ste 27, Boca Raton, FL 33434 | 2015-06-30 |
| 1053707604 | Izdean Mufleh | Internal Medicine | 8903 Glades Rd Ste K1a, Boca Raton, FL 33434 | 2015-04-10 |
| 1437435310 | Tahmineh Hojjat | Pharmacist | 9851 West Glades Road, Boca Raton, FL 33434 | 2011-10-24 |
| 1962783191 | Sharon Sokolow | Nutritionist | 9033 Glades Rd., Boca Raton, FL 33434 | 2011-09-01 |
| 1093014714 | Sandra Jean Donovan Monteagudo | Hearing Instrument Specialist | 8903 Glades Rd., Suite A-15, Boca Raton, FL 33434 | 2011-03-21 |
| Find all providers in zip 33434 | ||||
| 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 |
|---|---|---|---|---|
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1770144123 | Mobile Dermatology Care Pllc | Dermatology | 4700 Exchange Ct Ste 110, Boca Raton, FL 33431-4450 | 2019-06-26 |
| 1790171353 | Eric Rudnick | Dermatology | 22029 State Road 7 Ste 1, Boca Raton, FL 33428-4200 | 2015-04-10 |
| 1649616970 | Moum Dermatology LLC | Dermatology | 445 S Federal Hwy, Boca Raton, FL 33432-6027 | 2013-05-14 |
| 1114361235 | Dermpartners Inc | Dermatology | 21020 State Rd 7, Suite 120, Boca Raton, FL 33428 | 2013-04-19 |
| 1831410315 | Kenneth Jon Folsom | Dermatology | 3902 Nw 23rd Ct, Boca Raton, FL 33431-5446 | 2010-06-18 |
| 1588810808 | Lloyd George Wickboldt | Dermatology | 6630 Patio Ln, Boca Raton, FL 33433-6631 | 2008-08-18 |
| 1417115304 | Channing Rachel Barnett | Dermatology | 7100 W Camino Real Ste 301, Boca Raton, FL 33433-5510 | 2008-05-28 |
| 1164626545 | Patricia Sara Klem | Dermatology | 1905 Clint Moore Rd. Ste. 103, Advanced Dermatology, Boca Raton, FL 33496 | 2007-06-12 |
| 1255545547 | John Alan Kulick | Dermatology | 22804 Marbella Circle, Boca Raton, FL 33433-3802 | 2007-05-09 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33434 |
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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.