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 1407146194

Leavitt Medical Associates of Florida Inc is a Dermatology Physician in Bradenton, Florida. Registered with an NPI since 2011.

In the registry since
2011
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

2001 Manatee Ave E Ste 101
Bradenton, FL 34208-1620
Phone: (888) 540-9660
Fax: (407) 875-0518
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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 and Reconstructive Surgery Physician Taxonomy 2086S0122X

Record details

NPI number1407146194
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLeavitt Medical Assocaites of Florida Inc
Authorized official Nefrita Logan — Provider Serivce Rep · (407) 875-2080
Other names Advanced Dermatology And Cosmetic Surgery
NPI enumeratedApril 14, 2011
Last updated in NPPESApril 14, 2011
Mailing address2600 Lake Lucien Dr, Suite 180, Maitland, FL 32751-7233

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