LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1730339078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730339078 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Other Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Practice Address |
11760 Bird Rd #452 Miami FL 33175-3582 |
| Mailing Address |
2600 Lake Lucien Dr Suite 180 Maitland FL 32751-7233 |
| Practice Telephone | 3052279233 |
| Practice Fax Number | 3052205779 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4078750518 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2010-04-22 |
| Authorized Official Name | NEFRITA LOGAN (CREDENTIALING COORDINATOR) |
| 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 | ||
| 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 |
11760 BIRD RD #452 |
| City | MIAMI |
| State | FL |
| Zip Code | 33175-3582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356333900 | Leoncio V Gonzalez | Optometrist | 11760 Bird Rd, Suite 101, Miami, FL 33175-3549 | 2005-08-19 |
| 1790160265 | Dahdah Medical Group, Inc | Internal Medicine | 11760 Bird Rd, Suite 622a, Miami, FL 33175-3582 | 2015-07-27 |
| 1407252885 | Yanette Barcelo | Physician Assistant | 11760 Bird Rd, Suite 451, Miami, FL 33175-3582 | 2014-11-12 |
| 1548679731 | Lawnwood Healthcare Specialists LLC | Nurse Practitioner | 11760 Bird Rd, Suite 722, Miami, FL 33175-3582 | 2014-08-13 |
| 1043654122 | Fxm Research International, Inc | Clinic/Center | 11760 Bird Rd, Suite 452, Miami, FL 33175-3582 | 2013-04-19 |
| 1720421050 | Fxm Research Corporation | Clinic/Center | 11760 Bird Rd, Suite 452, Miami, FL 33175-3582 | 2013-04-17 |
| 1629371695 | Leoncio V Gonzalez Od Pa | Eyewear Supplier (Equipment, not the service) | 11760 Bird Rd, Suite 101, Miami, FL 33175-3582 | 2010-12-14 |
| 1578866042 | Elba Ines Pabon | Nurse Practitioner | 11760 Bird Rd, Suite 722, Miami, FL 33175-3582 | 2010-12-06 |
| 1316268337 | Gastrointestinal Specialists of Miami Inc | Internal Medicine | 11760 Bird Rd, Suite 642, Miami, FL 33175-3582 | 2010-06-14 |
| 1982922811 | Osman Roman Wever | Specialist/Technologist, Other | 11760 Bird Rd, Suite 722, Miami, FL 33175-3582 | 2010-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885965 | Kevin Bernardo Gonzalez | Behavior Technician | 11895 Sw 37 St, Miami, FL 33175 | 2020-06-11 |
| 1619509106 | Gladysbel Lorenzo | Nurse Practitioner | 11740 Sw 42st, Miami, FL 33175 | 2020-02-12 |
| 1154885200 | Vanessa Arzola Dmd Pa and Associates | Clinic/Center | 13419 Sw 56th Street, Miami, Miami, FL 33175 | 2019-01-23 |
| 1588145932 | Mailen Gonzalez | Nurse Practitioner | 12294 Sw 29 Ter, Miami, FL 33175 | 2018-08-23 |
| 1639655350 | Carolina Marie Trueba | Behavior Technician | 12825 Sw 49th Terr, Miami, FL 33175 | 2018-07-16 |
| 1033611504 | Joan Coro | Behavior Technician | 12905 Sw 42nd St Suite 219, Miami, FL 33175 | 2018-03-01 |
| 1417456864 | Ignacio Alzugaray | Nurse Practitioner | 12317 Sw 20th Ter, Miami, FL 33175 | 2018-02-12 |
| 1215436993 | Desiree Rengifo-glasgow | Nurse Practitioner | 11865 Sw 26th St Ste J2, Miami, FL 33175 | 2018-02-07 |
| 1639678691 | Behavior Professional Consultants Corp. | Community/Behavioral Health | 2460 Sw 137th Ave 242, Miami, FL 33175 | 2018-02-06 |
| 1992204291 | Humberto Lorenzo Paez | Nurse Practitioner | 4205 Sw 136th Place, Miami, FL 33175 | 2018-02-02 |
| Find all providers in zip 33175 | ||||
| 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 |
|---|---|---|---|---|
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1386119097 | Katlein Paola De Franca | Dermatology | 1295 Nw 14th St # Lmk, Miami, FL 33125-1610 | 2018-10-09 |
| 1316328578 | Laura-louise Scott | Dermatology | 1295 Nw 14th St Ste Lmk, Miami, FL 33125-1610 | 2015-06-13 |
| 1629471230 | Dorene Niv | Dermatology | 3431 Ne 1st Ave, Miami, FL 33137-3981 | 2014-09-27 |
| 1518372309 | Franz Kerdel | Dermatology | 3661 S Miami Ave Ste 1005, Miami, FL 33133-4214 | 2014-06-30 |
| 1093145831 | Ivan D Camacho Md Pa | Dermatology | 79 Sw 12 St #3907, Miami, FL 33130-5215 | 2013-11-14 |
| 1861835720 | Rivka C Stone | Dermatology | 1295 Nw 14th St Ste Lmandk, Miami, FL 33125-1610 | 2013-04-10 |
| 1861734584 | Alyx Cali Rosen | Dermatology | 1600 Nw 10th Ave Rm 2023, Miami, FL 33136 | 2013-03-20 |
| 1760750012 | Mind Fitness Inc | Dermatology | 1084 Nw 135th Ct, Miami, FL 33182-2616 | 2011-12-01 |
| Find all providers in MIAMI | ||||
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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.