Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Leavitt Medical Associates of Florida Inc

Organization Dermatology Physician · NPI 1366672610

Leavitt Medical Associates of Florida Inc provides Dermatology Physician services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
2
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

14546 Old Saint Augustine Rd Ste 407
Jacksonville, FL 32258-5468 Not confirmed with CMS for 17 years — call before visiting
Phone: (904) 400-6565
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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)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X (FL)

Record details

NPI number1366672610
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLmg
Authorized official Nefrita Logan — Provider Service Rep · (407) 875-2080
Other names Advanced Dermatology
NPI enumeratedJuly 21, 2009
Last updated in NPPESJuly 21, 2009
Mailing address2600 Lake Lucien Dr, Suite 180, Maitland, FL 32751-7233

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