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ADVANCED DERMATOLOGY AND COSMETIC SUR
NPI 1003074592
Dermatology in Coral Gables, FL

Active since May 30, 2008CLIA Certified · 5 labs
3275 PONCE DE LEON BLVD, CORAL GABLES, FL 33134(305) 461-2000(786) 228-4035 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Dermatology And Cosmetic Sur NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DERMATOLOGY AND COSMETIC SUR (NPI 1003074592) is a healthcare organization registered as a dermatology in Coral Gables, Florida and active in the NPI registry since May 2008. The organization holds 5 active CLIA laboratory certificates and lists Nefrita Logan, Pro Ser Rep, as its authorized official.

NPPES Registry Identity

NPI1003074592
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address3275 PONCE DE LEON BLVDCoral Gables, FL 33134-7251
Mailing Address2600 Lake Lucien Dr, Suite 180Maitland, FL 32751-7233 · (407) 875-2080 · Fax (407) 875-0518
Phone(305) 461-2000
Fax(786) 228-4035
Organization SubpartYes
Authorized OfficialNefrita LoganPro Ser Rep · (407) 875-2080
Enumeration DateMay 30, 2008
Last NPPES UpdateApril 21, 2010
✔ NPI 1003074592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPlastic SurgeryTaxonomy 208200000X
3275 PONCE DE LEON BLVD, Coral Gables, FL 33134
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Other Names 1

Doing Business AsAdvanced Dermatology And Cosmetic Sur

Other Identifiers 1

Medicare PIN98046AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatology And Cosmetic Sur is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

115

Medicare enrollment records show 115 clinicians reassign Medicare billing to Advanced Dermatology And Cosmetic Sur, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Dermatology63
Nurse Practitioner35
Plastic and Reconstructive Surgery8
Pathology5
Micrographic Dermatologic Surgery (MDS)2
Otolaryngology1
Physician Assistant1

Nearest to this location (20)

See all 115
William Mcdonald, MD
Plastic and Reconstructive Surgery
NPI 1356307979
8740 N KENDALL DR STE 101
Miami, FL 33176
(305) 381-8900
✔ PECOS✔ Accepts Medicare8.5 mi
Nicole Swenson, D.O.
Dermatology
NPI 1275805921
3 SW 129TH AVE STE 200
Pembroke Pines, FL 33027
(866) 400-3376
✔ PECOS✔ Accepts Medicare18 mi
Annyella Douglas
Dermatology
NPI 1619438348
3 SW 129TH AVE STE 100
Pembroke Pines, FL 33027
(866) 400-3376
✔ PECOS✔ Accepts Medicare19 mi
Nicky Gazy
Dermatology
NPI 1104311075
3 SW 129TH AVE STE 100
Pembroke Pines, FL 33027
(866) 400-3376
✔ PECOS✔ Accepts Medicare19 mi
Jay Gottlieb, DO
Dermatology
NPI 1588660757
3 SW 129TH AVE STE 100
Pembroke Pines, FL 33027
(866) 400-3376
✔ PECOS✔ Accepts Medicare19 mi
Danielle Dubin, MD
Dermatology
NPI 1285256305
3 SW 129TH AVE STE 100
Pembroke Pines, FL 33027
(866) 400-3376
✔ PECOS✔ Accepts Medicare19 mi
Mark Kaufmann, M.D.
Dermatology
NPI 1386648616
3 SW 129TH AVE STE 100
Pembroke Pines, FL 33027
(866) 400-3376
✔ PECOS✔ Accepts Medicare19 mi
Ashley Pardue Gomez, RN
Nurse Practitioner
NPI 1851705735
4060 SHERIDAN ST STE C
Hollywood, FL 33021
(954) 987-7512
✔ PECOS21 mi
Chava Lustig, DO
Dermatology
NPI 1326158866
290 INDIAN TRCE
Weston, FL 33326
(954) 908-3604
✔ PECOS✔ Accepts Medicare27 mi
Scott Podnos, MD
Dermatology
NPI 1053421446
290 INDIAN TRCE
Weston, FL 33326
(954) 908-3604
✔ PECOS✔ Accepts Medicare28 mi
Martin Schiff, MD
Dermatology
NPI 1659336832
3000 UNIVERSITY DR STE K
Coral Springs, FL 33065
(954) 752-2630
✔ PECOS✔ Accepts Medicare36 mi
Patricia Klem, D.O.
Dermatology
NPI 1164626545
1905 CLINT MOORE RD. STE. 103 ADVANCED DERMATOLOGY
Boca Raton, FL 33496
(561) 241-5858
✔ PECOS✔ Accepts Medicare47 mi
Liliana Montoya, M.D.
Dermatology
NPI 1669861407
1905 CLINT MOORE RD STE 103
Boca Raton, FL 33496
(866) 400-3376
✔ PECOS✔ Accepts Medicare47 mi
Robin Burger
Pathology
NPI 1588058648
1300 NW 17TH AVE STE 130
Delray Beach, FL 33445
(561) 819-0857
✔ PECOS✔ Accepts Medicare52 mi
Shuo Liu, MD; PHD
Pathology
NPI 1336644590
1300 NW 17TH AVE
Delray Beach, FL 33445
(773) 816-4522
✔ PECOS✔ Accepts Medicare52 mi
Etan Marks, D.O.
Pathology
NPI 1528301728
1300 NW 17TH AVE STE 130A
Delray Beach, FL 33445
(866) 400-3376
✔ PECOS✔ Accepts Medicare52 mi
Apphia Wang, MD
Dermatology
NPI 1902224553
1035 S STATE ROAD 7 STE 122
Wellington, FL 33414
(650) 353-6377
✔ PECOS✔ Accepts Medicare69 mi
Raymond Ramirez, DO
Dermatology
NPI 1063614840
600 VILLAGE SQUARE XING
Palm Beach Gardens, FL 33410
(561) 693-0540
✔ PECOS✔ Accepts Medicare76 mi
Timothy Lian, M.D.
Otolaryngology
NPI 1154355493
11181 HEALTH PARK BLVD STE 2280
Naples, FL 34110
(239) 594-9075
✔ PECOS✔ Accepts Medicare102 mi
Edmundo Barreto, APRN
Nurse Practitioner
NPI 1346909421
615 WILLIAMS AVE
Lehigh Acres, FL 33972
(239) 310-5269
✔ PECOS✔ Accepts Medicare105 mi
See all 115 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D1065154

Advanced Dermatology And Cosmetic Surgery · Maitland, FL
Active · expires Jun 23, 2028
CLIA Number10D1065154
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorCharles Dunn
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology And Cosmetic Surgery151 Southhall Ln Ste 300, Maitland, FL 32751
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 10D2029928

Advanced Dermatology & Cosmetic Surgery · Debary, FL
Active · expires Mar 25, 2028
CLIA Number10D2029928
Laboratory TypePhysician Office
Certificate Effective DateMarch 26, 2026
Certificate Expiration DateMarch 25, 2028
Laboratory DirectorDr. Christine Moorhead-Dovre
Laboratory Phone(407) 875-2080
Laboratory LocationAdvanced Dermatology & Cosmetic Surgery2893 Enterprise Rd Ste 100, Debary, FL 32713
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 10D2134374

Advanced Dermatology Of Cosmetic Surgery · New Smyrna Beach, FL
Active · expires Jul 31, 2027
CLIA Number10D2134374
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorWilliam A. Bethea
Laboratory Phone(407) 875-2080
Laboratory LocationAdvanced Dermatology Of Cosmetic Surgery408 Palmetto Street, New Smyrna Beach, FL 32168
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D2055647

Advanced Dermatology & Cosmetic Surgery · Oviedo, FL
Active · expires May 2, 2027
CLIA Number10D2055647
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorChristine Dovre
Laboratory Phone(407) 875-2080
Laboratory LocationAdvanced Dermatology & Cosmetic Surgery1410 W Broadway Ste 205, Oviedo, FL 32765
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2132684

Advanced Dermatology Of Maryland · Oxon Hill, MD
Active · expires Jan 19, 2027
CLIA Number21D2132684
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorDr. Robyn A. James
Laboratory Phone(407) 875-2080
Laboratory LocationAdvanced Dermatology Of Maryland174 Waterfront Street Suite 200, Oxon Hill, MD 20745
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leavitt Medical Associates Of Florida Inc's NPI number?

The NPI number for Leavitt Medical Associates Of Florida Inc is 1003074592. It was assigned to this organization in the NPPES registry on May 30, 2008. The provider is doing business as Advanced Dermatology And Cosmetic Sur.

Where is Leavitt Medical Associates Of Florida Inc located?

Leavitt Medical Associates Of Florida Inc is located at 3275 Ponce De Leon Blvd, Coral Gables, FL 33134. The listed phone number is (305) 461-2000.

What is Leavitt Medical Associates Of Florida Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Leavitt Medical Associates Of Florida Inc enrolled in Medicare?

Yes. Leavitt Medical Associates Of Florida Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leavitt Medical Associates Of Florida Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 7 Medicare specialties reassign their Medicare billing to Leavitt Medical Associates Of Florida Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (63), Nurse Practitioner (35) and Plastic and Reconstructive Surgery (8). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Leavitt Medical Associates Of Florida Inc hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Leavitt Medical Associates Of Florida Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Leavitt Medical Associates Of Florida Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leavitt Medical Associates Of Florida Inc was last updated on April 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.