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 1629236104

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

In the registry since
2008
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

3000 SW 148th Ave Sutie 250
Miramar, FL 33027-4169
Phone: (954) 885-5551
Fax: (954) 885-5559
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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 Surgery Physician Taxonomy 208200000X

Record details

NPI number1629236104
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLeavitt Medical Associates of Florida Inc
Authorized official Nefrita Logan — Pro Ser Rep · (407) 875-2080
Other names Advanced Dermatology
NPI enumeratedMay 30, 2008
Last updated in NPPESApril 22, 2010
Mailing address2600 Lake Lucien Dr, Suite 180, Maitland, FL 32751-7233

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