LEAVITT MEDICAL ASSOCIATE OF FLORIDA INC (NPI# 1659661361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659661361 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATE OF FLORIDA INC |
| Other Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Practice Address |
1111 Lincoln Rd Suite 375 Miami Beach FL 33139-2452 |
| Mailing Address |
2600 Lake Lucien Dr Suite 180 Maitland FL 32751-7233 |
| Practice Telephone | 9176202378 |
| Practice Fax Number | 4078750518 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4078750518 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |
| Authorized Official Name | NEFRITA LOGAN (PROVIDER SERVICE REP) |
| Authorized Official Telephone | 4078752080 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEAVITT MEDICAL ASSOCAITES OF FLORIDA INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Dermatology and Cosmetic Surgery | Doing Business As Name - Organization |
| Street Address |
1111 LINCOLN RD SUITE 375 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139-2452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760440689 | Joseph C Hudson | Chiropractor | 1111 Lincoln Rd, Suite 310, Miami Beach, FL 33139-2452 | 2006-05-02 |
| 1477850329 | Marcy Alvarez, Do. Pa | Dermatology | 1111 Lincoln Rd, Suite 375, Miami Beach, FL 33139-2452 | 2011-02-11 |
| 1598902587 | Sofi Therapies Inc | Physical Therapist | 1111 Lincoln Rd, 4th Floor, Miami Beach, FL 33139-2452 | 2009-01-13 |
| 1720208366 | Mauricio C Tijerino | Dentist | 1111 Lincoln Rd, Suite 740, Miami Beach, FL 33139-2452 | 2007-04-26 |
| 1942428081 | Juan R. Canals Md Pa | Internal Medicine | 1111 Lincoln Rd, 375, Miami Beach, FL 33139-2452 | 2007-04-23 |
| 1043344112 | Marcy Shera Alvarez | Dermatology | 1111 Lincoln Rd, Suite 375, Miami Beach, FL 33139-2452 | 2007-03-14 |
| 1336167634 | John Niven | Dermatology | 1111 Lincoln Rd, 375, Miami Beach, FL 33139-2452 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| 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 |
|---|---|---|---|---|
| 1255851036 | Albert Canas Md and Associates Aesthetics | Dermatology | 1680 Michigan Ave Ste 901, Miami Beach, FL 33139-2550 | 2017-06-22 |
| 1417362203 | Danielle Nicolazzo | Dermatology | 4308 Alton Rd Ste 750, Miami Beach, FL 33140-4557 | 2014-06-30 |
| 1730491135 | Roberta Spencer Del Campo | Dermatology | 555 Washington Avenue, S. 210, Miami Beach, FL 33139 | 2010-07-14 |
| 1437301645 | Maryann Mikhail | Dermatology | 555 Washington Ave Ste 210, Miami Beach, FL 33139-6639 | 2008-10-21 |
| 1548224835 | Betty A Bellman | Dermatology | 4302 Alton Road, S. 705, Miami Beach, FL 33140 | 2006-04-13 |
| 1528063112 | Stephen Howard Mandy | Dermatology | 555 Washington Ave, Ste 210, Miami Beach, FL 33139-6643 | 2005-06-20 |
| 1427535178 | Del Campo Dermatology LLC | Dermatology | 1691 Michigan Ave Ste 500, Miami Beach, FL 33139-2559 | 2018-07-25 |
| 1265702088 | Kim Cook | Dermatology | 1521 Alton Rd, #676, Miami Beach, FL 33139-3301 | 2012-01-10 |
| 1477850329 | Marcy Alvarez, Do. Pa | Dermatology | 1111 Lincoln Rd, Suite 375, Miami Beach, FL 33139-2452 | 2011-02-11 |
| 1730410713 | Betty Bellman Md Pa | Dermatology | 4302 Alton Rd, Suite 705, Miami Beach, FL 33140-2891 | 2010-01-15 |
| Find all providers in MIAMI BEACH | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
Please comment or provide details below to improve the information on LEAVITT MEDICAL ASSOCIATE 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.