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: August 09, 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

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.

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.