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 1528097284

Leavitt Medical Associates of Florida Inc is a Dermatology Physician in Heathrow, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
9
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

120 International Pkwy 240
Heathrow, FL 32746-5031
Phone: (407) 333-4200
Fax: (407) 829-6637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS5365 (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence OS5365 (FL)
Dermatopathology Physician Taxonomy 207ND0900X · Licence OS5365 (FL)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence OS5365 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence OS5365 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS5365 (FL)
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X · Licence OS5365 (FL)
Plastic Surgery Physician Taxonomy 208200000X · Licence OS5365 (FL)
Surgery Physician Taxonomy 208600000X · Licence OS5365 (FL)

Record details

NPI number1528097284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Declue — Director Of Provider Services · (407) 875-2080
Other names Advanced Dermatology And Cosmetic Surgery
NPI enumeratedJuly 2, 2006
Last updated in NPPESAugust 29, 2017
Mailing address151 Southhall Ln, Ste 300, Maitland, FL 32751-7233

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