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 1629212519

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

Licensed in
FL
In the registry since
2009
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

12600 Pembroke Rd Ste 312
Miramar, FL 33027-2544 Not confirmed with CMS for 13 years — call before visiting
Phone: (954) 431-7681
Fax: (954) 431-7682
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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 number1629212519
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLeavitt Medical Associates of Florida Inc
Authorized official Nefrita Logan — Provider Service · (407) 875-2080
Other names Advanced Dermatology And Cosmetic Surgery
NPI enumeratedApril 23, 2009
Last updated in NPPESJune 4, 2013
Mailing address151 Southhall Ln, Suite 300, Maitland, FL 32751-7176

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