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

Leavitt Medical Associates of Florida Inc

Organization Dermatology Physician · NPI 1316217961

Leavitt Medical Associates of Florida Inc is a Dermatology Physician in Winter Park, Florida. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
3
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

400 W Fairbanks Ave Ste E
Winter Park, FL 32789-5084
Phone: (407) 645-2300
Fax: (407) 333-2140
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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
Plastic Surgery Physician Taxonomy 208200000X

Record details

NPI number1316217961
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLeavitt Medical Associates of Florida Inc
Authorized official Nefrita Logan — Provider Services · (407) 875-2080
Other names Advanced Dermatology And Cosmetic Surgery
NPI enumeratedJanuary 12, 2012
Last updated in NPPESJanuary 12, 2012
Mailing address2600 Lake Lucien Dr, Suite 180, Maitland, FL 32751-7233

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