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 1801191101

Leavitt Medical Associates of Florida Inc provides Dermatology Physician services 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 Not confirmed with CMS for 11 years — call before visiting
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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