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 1902067671

Leavitt Medical Associates of Florida Inc is a Dermatology Physician in Palm Coast, 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

3 Pine Cone Dr Ste 102
Palm Coast, FL 32137-8685
Phone: (888) 540-9660
Fax: (407) 875-0518
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
Plastic Surgery Physician Taxonomy 208200000X

Record details

NPI number1902067671
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 enumeratedJune 24, 2008
Last updated in NPPESApril 21, 2010
Mailing address2600 Lake Lucien Dr Ste 180, Maitland, FL 32751-7235

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