LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC


Address: 6919 N Dale Mabry Hwy, Ste 325, Tampa, FL 33614-3972
Phone: 8138757333

LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1649438144) 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) 1649438144
Entity Type Organization
Organization Name LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Other Organization Name ADVANCED DERMATOLOGY AND COSMETIC SURGERY
Practice Address 6919 N Dale Mabry Hwy
Ste 325
Tampa
FL 33614-3972
Mailing Address 151 Southhall Ln
Ste 300
Maitland
FL 32751-7176
Practice Telephone 8138757333
Practice Fax Number 8138758833
Mailing Telephone 4078752080
Mailing Fax Number 4076503455
Enumeration Date 2008-05-30
Last Update Date 2014-08-28
Authorized Official Name NEFRITA LOGAN (PROVIDER SERVICES)
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 208200000X Plastic Surgery Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 256877210 05

Other Provider/Organization Names

Other Name Type Code
Advanced Dermatology and Cosmetic Surgery 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
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

Office Location

Street Address 6919 N DALE MABRY HWY
STE 325
City TAMPA
State FL
Zip Code 33614-3972

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881687747 Ajay Pravin Patel Emergency Medicine 6919 N Dale Mabry Hwy, Suite 200, Tampa, FL 33614-3972 2005-08-25
1174792725 Angel M. Rosario M.d., P.a. Specialist 6919 N Dale Mabry Hwy, Suite 320, Tampa, FL 33614-3972 2008-02-28
1598934143 Israel Crespo Md Pa Specialist 6919 N Dale Mabry Hwy, Suite 320, Tampa, FL 33614-3972 2008-02-28
1346427309 Surbhi Jain Emergency Medicine 6919 N Dale Mabry Hwy, Ste 210, Tampa, FL 33614-3972 2008-01-22
1942302880 Israel Crespo Internal Medicine 6919 N Dale Mabry Hwy, Suite 320, Tampa, FL 33614-3972 2006-09-01
1023127909 Angel M Rosario Internal Medicine 6919 N Dale Mabry Hwy, Suite 320, Tampa, FL 33614-3972 2006-08-30
1023009248 Naomi Cherie Mizell Physician Assistant 6919 N Dale Mabry Hwy, Suite 300, Tampa, FL 33614-3972 2005-11-04
1427044064 Ravindra R Patel Emergency Medicine 6919 N Dale Mabry Hwy, Suite 200, Tampa, FL 33614-3972 2005-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134733082 Robin Rollena Stewart Home Health 9537 Lazy Lane, Apt 302, Tampa, FL 33614 2020-09-08
1346885761 David Joseph Page Nurse Practitioner St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 2019-11-08
1134687411 Ramon Chang Adult Family Care Home LLC Custodial Care Facility 2607 W Humphrey St, Tampa, FL 33614 2019-03-06
1134600612 Senior Point Assisted Living Facility, LLC Assisted Living Facility 2940 W Hillsborough Ave, Tampa, FL 33614 2018-08-23
1306361266 Larry Valdes Assisted Living Facility 4402 W Minnehaha St, Tampa, FL 33614 2017-08-11
1982128062 Jaime F Casellas Md Corp Internal Medicine 4600 N Habana Ave Suit #13, Tampa, FL 33614 2017-07-31
1891219119 Waveney Gittens-williams Alzheimer Center (Dementia Center) 3706 W. Idle Wild Cir #203, Tampa, FL 33614 2017-07-28
1750811857 Syerita Nicole Morris Counselor 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 2017-06-13
1447786124 Lisa Moy Case Manager/Care Coordinator 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 2017-05-02
1750813804 Joshua Martin Good Physical Therapy Assistant 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 2017-03-29
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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
1922617729 Synergymd, LLC Dermatology 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 2020-07-28
1578927596 Lombardi Institute of Dermatology Dermatology 602 S Audubon Ave Ste B, Tampa, FL 33609-4217 2016-04-06
1275909806 Dermatology Network of Florida, LLC Dermatology 8320 W Hillsborough Ave, Ste B, Tampa, FL 33615-3824 2015-08-18
1225424740 Lisa Marie Diaz Dermatology 17401 Commerce Park Blvd Ste 104, Tampa, FL 33647-3507 2015-04-10
1053702134 Robert R. Tawil Dermatology 3741 W Neptune St, Tampa, FL 33629-5118 2015-02-11
1013317460 Scott Forrester Lindsey Dermatology 310 S. Macdill Ave., Suite 201, Tampa, FL 33609 2014-09-03
1619317575 Jonathan Lopez Dermatology 2727 W Dr Mlk Blvd Ste 570, Tampa, FL 33607-6009 2013-06-25
1619151479 C Lance Kane Md Pa Dermatology 505 S Habana Ave, Tampa, FL 33609 2007-12-28
1730362112 Amanda Brooke Sergay Dermatology 310 S Macdill Ave, Tampa, FL 33609-3142 2007-12-09
1649362112 Gisela Torres-bonilla Dermatology 4700 N Habana Ave Ste 303, Tampa, FL 33614-7118 2006-09-29
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Competitor

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City TAMPA
Zip Code 33614

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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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