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 1437389772

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
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

4100 Southpoint Dr E Ste 1
Jacksonville, FL 32216-8017
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)
Physician Assistant Taxonomy 363A00000X (FL)

Record details

NPI number1437389772
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLeavitt Medical Associates of Florida Inc
Authorized official Nefrita Logan — Provider Service Rep · (407) 875-2080
Other names Advanced Dermatology And Cosmetic Surgery
NPI enumeratedJuly 21, 2009
Last updated in NPPESApril 21, 2010
Mailing address2600 Lake Lucien Dr, Suite 180, Maitland, FL 32751-7233

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