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

Leavitt Medical Associates of Florida Inc

Organization Dermatology Physician · NPI 1528097284

Leavitt Medical Associates of Florida Inc provides Dermatology Physician services in Heathrow, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
9
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

120 International Pkwy 240
Heathrow, FL 32746-5031
Phone: (407) 333-4200
Fax: (407) 829-6637
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence OS5365 (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence OS5365 (FL)
Dermatopathology Physician Taxonomy 207ND0900X · Licence OS5365 (FL)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence OS5365 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence OS5365 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS5365 (FL)
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X · Licence OS5365 (FL)
Plastic Surgery Physician Taxonomy 208200000X · Licence OS5365 (FL)
Surgery Physician Taxonomy 208600000X · Licence OS5365 (FL)

Record details

NPI number1528097284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Declue — Director Of Provider Services · (407) 875-2080
Other names Advanced Dermatology And Cosmetic Surgery
NPI enumeratedJuly 2, 2006
Last updated in NPPESAugust 29, 2017
Mailing address151 Southhall Ln, Ste 300, Maitland, FL 32751-7233

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