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 1801191101

Leavitt Medical Associates of Florida Inc is a Dermatology Physician in Bradenton, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
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

2902 59th St W Ste A
Bradenton, FL 34209-7023
Phone: (941) 757-0763
Fax: (941) 757-0725
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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)

Record details

NPI number1801191101
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLeavitt Medical Associates of Florida Inc
Authorized official Amy Declue — Director, Provider Services · (407) 875-2080
Other names Advanced Dermatology And Cosmetic Surgery
NPI enumeratedJanuary 18, 2011
Last updated in NPPESDecember 4, 2014
Mailing address151 Southhall Ln, Suite 300, Maitland, FL 32751-7176

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