ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1114218328
Dermatology in Valrico, FL

Active since April 21, 2011
1426 E BLOOMINDALE AVE, VALRICO, FL 33596(888) 540-9660(407) 875-0518 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Dermatology And Cosmetic Surgery NPPES

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

ADVANCED DERMATOLOGY AND COSMETIC SURGERY (NPI 1114218328) is a healthcare organization registered as a dermatology in Valrico, Florida and active in the NPI registry since April 2011. The organization lists Nefrita Logan, Provider Service Rep, as its authorized official.

NPPES Registry Identity

NPI1114218328
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCAITTES OF FLORIDA INC
Location Address1426 E BLOOMINDALE AVEValrico, FL 33596
Mailing Address2600 Lake Lucien Dr, Suite 180Maitland, FL 32751-7233 · (407) 875-2080 · Fax (407) 875-0518
Fax(407) 875-0518
Organization SubpartYesParent: Leavitt Medical Associates Of Florida Inc
Authorized OfficialNefrita LoganProvider Service Rep · (407) 875-2080
Enumeration DateApril 21, 2011
✔ NPI 1114218328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
1426 E BLOOMINDALE AVE, Valrico, FL 33596

Other Names 1

Doing Business AsAdvanced Dermatology And Cosmetic Surgery

Other Identifiers 1

Medicare PIN98046HFL

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

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 Surgery 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 Surgery, which bills Medicare for the services they deliver. Of these, 5 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
Dermatology
NPI 1902366008
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(866) 400-3376
✔ PECOS✔ Accepts Medicare4.0 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1407218308
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(813) 692-4171
✔ PECOS✔ Accepts Medicare4.0 mi
Dermatology
NPI 1629665914
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(813) 651-1991
✔ PECOS4.0 mi
Nurse Practitioner
NPI 1942824594
621 MEDICAL CARE DR
Brandon, FL 33511
(813) 657-3330
✔ PECOS✔ Accepts Medicare4.2 mi
Dermatology
NPI 1932736865
9598 US HIGHWAY 301 S
Riverview, FL 33578
(866) 400-3376
✔ PECOS✔ Accepts Medicare5.6 mi
Nurse Practitioner
NPI 1235380940
1503 W REYNOLDS ST
Plant City, FL 33563
(813) 514-4688
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1629379458
14521 UNIVERSITY POINT PL
Tampa, FL 33613
(813) 977-3600
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1104966019
14521 UNIVERSITY POINT PL
Tampa, FL 33613
(813) 977-3600
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1700328515
202 LAKE MIRIAM DR STE 1
Lakeland, FL 33813
(863) 647-2333
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1184961419
202 LAKE MIRIAM DR STE S1
Lakeland, FL 33813
(863) 647-2333
✔ PECOS✔ Accepts Medicare18 mi
Dermatology
NPI 1427587740
202 LAKE MIRIAM DR STE 1
Lakeland, FL 33813
(866) 400-3376
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1780339325
202 LAKE MIRIAM DR STE S1
Lakeland, FL 33813
(866) 400-3376
✔ PECOS✔ Accepts Medicare18 mi
Plastic and Reconstructive Surgery
NPI 1306924022
202 LAKE MIRIAM DR UNIT 1
Lakeland, FL 33813
(866) 400-3376
✔ PECOS✔ Accepts Medicare18 mi
Dermatology
NPI 1902466253
27612 CASHFORD CIR STE 102
Wesley Chapel, FL 33544
(866) 400-3376
✔ PECOS✔ Accepts Medicare22 mi
Dermatology
NPI 1023187960
26809 TANIC DR STE 101
Wesley Chapel, FL 33544
(813) 435-5199
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1962805465
6450 38TH AVE N STE 420
St Petersburg, FL 33710
(727) 344-6851
✔ PECOS✔ Accepts Medicare30 mi
Dermatology
NPI 1063496438
4132 WOODLANDS PARKWAY
Palm Harbor, FL 34685
(727) 786-5100
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1346846730
4132 WOODLANDS PKWY
Palm Harbor, FL 34685
(866) 400-3376
✔ PECOS✔ Accepts Medicare31 mi
Plastic and Reconstructive Surgery
NPI 1215565635
8250 BRYAN DAIRY RD STE 250
Largo, FL 33777
(727) 393-5300
✔ PECOS31 mi
Physician Assistant
NPI 1457789307
120 INTERNATIONAL PARKWAY SUITE 300
Heathrow, FL 32746
(407) 333-4200
✔ PECOS✔ Accepts Medicare80 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.

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 Assocaittes Of Florida Inc's NPI number?

The NPI number for Leavitt Medical Assocaittes Of Florida Inc is 1114218328. It was assigned to this organization in the NPPES registry on April 21, 2011. The provider is doing business as Advanced Dermatology And Cosmetic Surgery.

Where is Leavitt Medical Assocaittes Of Florida Inc located?

Leavitt Medical Assocaittes Of Florida Inc is located at 1426 E Bloomindale Ave, Valrico, FL 33596. The listed phone number is (888) 540-9660.

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

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

Is Leavitt Medical Assocaittes Of Florida Inc enrolled in Medicare?

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

How many clinicians bill Medicare through Leavitt Medical Assocaittes 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 Assocaittes 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, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leavitt Medical Assocaittes Of Florida Inc was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.