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 1629212519

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

Licensed in
FL
In the registry since
2009
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

12600 Pembroke Rd Ste 312
Miramar, FL 33027-2544
Phone: (954) 431-7681
Fax: (954) 431-7682
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X (FL)

Record details

NPI number1629212519
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLeavitt Medical Associates of Florida Inc
Authorized official Nefrita Logan — Provider Service · (407) 875-2080
Other names Advanced Dermatology And Cosmetic Surgery
NPI enumeratedApril 23, 2009
Last updated in NPPESJune 4, 2013
Mailing address151 Southhall Ln, Suite 300, Maitland, FL 32751-7176

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