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 1366672610

Leavitt Medical Associates of Florida Inc is a Dermatology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
2
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

14546 Old Saint Augustine Rd Ste 407
Jacksonville, FL 32258-5468
Phone: (904) 400-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X (FL)

Record details

NPI number1366672610
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLmg
Authorized official Nefrita Logan — Provider Service Rep · (407) 875-2080
Other names Advanced Dermatology
NPI enumeratedJuly 21, 2009
Last updated in NPPESJuly 21, 2009
Mailing address2600 Lake Lucien Dr, Suite 180, Maitland, FL 32751-7233

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