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 1477708865

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

In the registry since
2008
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

3006 17th St
Saint Cloud, FL 34769-6011
Phone: (407) 498-7100
Fax: (407) 498-7200
Show map & directions

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

Record details

NPI number1477708865
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLeavitt Medical Associates of Florida Inc
Authorized official Amy Declue — Director Of Provider Services · (407) 875-2080
Other names Advanced Dermatology And Cosmetic Surgery
NPI enumeratedNovember 26, 2008
Last updated in NPPESJuly 21, 2022
Mailing address151 Southhall Ln Ste 300, Maitland, FL 32751-7172

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