Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leavitt Medical Associates of Florida Inc

Organization Dermatology Physician · NPI 1093973588

Leavitt Medical Associates of Florida Inc is a Dermatology Physician in Port Orange, Florida. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1720 Dunlawton Ave Ste 2
Port Orange, FL 32127-2916
Phone: (386) 322-8310
Fax: (386) 322-8370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Family Medicine Physician Taxonomy 207Q00000X
Plastic Surgery Physician Taxonomy 208200000X

Record details

NPI number1093973588
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLeavitt Medical Associates of Florida Inc
Authorized official Amy Declue — Director, Provider Services · (407) 875-2080
Other names Advanced Dermatology And Cosmetic Surgery
NPI enumeratedMay 30, 2008
Last updated in NPPESApril 21, 2010
Mailing address2600 Lake Lucien Dr Ste 180, Maitland, FL 32751-7235

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