LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC (NPI# 1992963466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992963466 |
| Entity Type | Organization |
| Organization Name | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC |
| Other Organization Name | ADVANCED DERMATOLOGY AND COSMETIC SURGERY |
| Practice Address |
21097 Ne 27th Ct Suite 500 Aventura FL 33180-1204 |
| Mailing Address |
2600 Lake Lucien Dr Suite 180 Maitland FL 32751-7233 |
| Practice Telephone | 3059316661 |
| Practice Fax Number | 3059371733 |
| Mailing Telephone | 4078752080 |
| Mailing Fax Number | 4078750518 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |
| 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 |
21097 NE 27TH CT SUITE 500 |
| City | AVENTURA |
| State | FL |
| Zip Code | 33180-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162466 | Gary R Donshik | Internal Medicine | 21097 Ne 27th Ct, Suite 320, Aventura, FL 33180-1204 | 2005-05-24 |
| 1598257503 | Emerald Multispecialty Pa | Family Medicine | 21097 Ne 27th Ct, Aventura, FL 33180-1204 | 2018-06-05 |
| 1104370394 | Reynier Avon | Nurse Practitioner | 21097 Ne 27th Ct, Suite 480, Aventura, FL 33180-1204 | 2016-08-05 |
| 1639522519 | Jill Collum | Physical Therapist | 21097 Ne 27th Ct, Suite 540, Aventura, FL 33180-1204 | 2016-07-15 |
| 1083061220 | Aventura Hospital & Medical Center | Student in an Organized Health Care Education/Training Program | 21097 Ne 27th Ct, Suite 480, Aventura, FL 33180-1204 | 2016-05-18 |
| 1508230921 | Itzamarie Cintron | Nurse Practitioner | 21097 Ne 27th Ct, Suite 350, Aventura, FL 33180-1204 | 2015-11-23 |
| 1083082796 | Catalina Galvis | Physician Assistant | 21097 Ne 27th Ct, Suite 540, Aventura, FL 33180-1204 | 2015-09-11 |
| 1578946075 | Sofia Intriago | Nurse Practitioner | 21097 Ne 27th Ct, Suite 580, Aventura, FL 33180-1204 | 2015-07-01 |
| 1215320007 | Michael J Braun Md LLC | Internal Medicine | 21097 Ne 27th Ct, Suite 110, Aventura, FL 33180-1204 | 2015-03-18 |
| 1053704767 | Michael J Braun Md LLC | Internal Medicine | 21097 Ne 27th Ct, Suite 110, Aventura, FL 33180-1204 | 2015-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| 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 |
|---|---|---|---|---|
| 1396140695 | Angela Macri | Dermatology | 2925 Aventura Blvd Ste 205, Aventura, FL 33180-3108 | 2014-10-29 |
| 1740409911 | Resnik Dermatology Aventura, Pa | Dermatology | 2630 Ne 203rd St Ste 105, Aventura, FL 33180-1903 | 2007-04-25 |
| 1336148535 | Barry Isaac Resnik | Dermatology | 2630 Ne 203rd St, Ste 105, Aventura, FL 33180-1903 | 2005-07-19 |
| 1063417665 | Mark Steven Nestor | Dermatology | 2925 Aventura Blvd, Ste 205, Aventura, FL 33180-3108 | 2005-06-20 |
| 1578955811 | Premier Dermatology, Md, LLC | Dermatology | 21097 Ne 27th Ct, Suite 500, Aventura, FL 33180-1204 | 2015-02-24 |
| 1033444096 | Joel Wiszniak Md Pa | Dermatology | 18205 Biscayne Blvd, Ste 2217, Aventura, FL 33160-2106 | 2009-10-08 |
| 1679707038 | Dorothy G Koreman | Dermatology | 6000 Island Blvd, Apt. 1506, Aventura, FL 33160-3785 | 2009-05-13 |
| 1669622452 | Aventura Dermatology & Cosmetic Center | Dermatology | 21097 Ne 27th Ct, Suite 500, Aventura, FL 33180-1204 | 2008-09-29 |
| 1265624647 | Marisa Potter | Dermatology | 21097 Ne 27th Ct, #500, Aventura, FL 33180-1204 | 2007-08-09 |
| 1891829164 | David Drachman | Dermatology | 17971 Biscayne Blvd, #205, Aventura, FL 33160 | 2007-03-16 |
| Find all providers in AVENTURA | ||||
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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.