ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1194967331
Dermatology in Celebration, FL

Active since April 02, 2009
410 CELEBRATION PL, SUITE 301, CELEBRATION, FL 34747(407) 566-1616(407) 566-1617 Get Directions Write a Review

NPPES record last updated: April 2, 2009. 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 1194967331) is a healthcare organization registered as a dermatology in Celebration, Florida and active in the NPI registry since April 2009. The organization lists Nefrita Logan, Provider Representative, as its authorized official.

NPPES Registry Identity

NPI1194967331
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address410 CELEBRATION PL, SUITE 301Celebration, FL 34747-5433
Mailing Address2600 Lake Lucien Dr, Suite 180Maitland, FL 32751-7233 · (407) 875-2080 · Fax (407) 875-0518
Fax(407) 566-1617
Organization SubpartNo
Authorized OfficialNefrita LoganProvider Representative · (407) 875-2080
Enumeration DateApril 2, 2009
✔ NPI 1194967331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
410 CELEBRATION PL, Celebration, FL 34747

Other Names 1

Doing Business AsAdvanced Dermatology And Cosmetic Surgery

Other Identifiers 1

Medicare UPIN98046FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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, 2 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 1295784957
14050 TOWN LOOP BLVD SUITE 203
Orlando, FL 32837
(407) 852-6650
✔ PECOS✔ Accepts Medicare7.7 mi
Nurse Practitioner
NPI 1275176042
15222 BOOK CLUB RD
Winter Garden, FL 34787
(954) 214-1167
✔ PECOS✔ Accepts Medicare8.0 mi
Dermatology
NPI 1184891830
80 W GRANT ST STE 117
Orlando, FL 32806
(866) 400-3376
✔ PECOS✔ Accepts Medicare16 mi
Dermatology
NPI 1184985996
9368 NARCOOSSEE RD STE 104
Orlando, FL 32827
(407) 745-1966
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1396168118
1920 DON WICKHAM DRIVE SUIT 330
Clermont, FL 34711
(352) 241-4298
✔ PECOS✔ Accepts Medicare19 mi
Dermatology
NPI 1447593686
1920 DON WICKHAM DR STE 330
Clermont, FL 34711
(352) 241-4298
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1780148346
1920 DON WICKHAM DR
Clermont, FL 34711
(866) 400-3376
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1992381198
151 SOUTHHALL LN STE 300
Maitland, FL 32751
(407) 875-2080
✔ PECOS✔ Accepts Medicare22 mi
Dermatology
NPI 1821108341
260 LOOKOUT PL STE 103
Maitland, FL 32751
(407) 373-0700
✔ PECOS✔ Accepts Medicare24 mi
Dermatology
NPI 1588002059
430 LAKE HOWELL RD
Maitland, FL 32751
(407) 636-3113
✔ PECOS✔ Accepts Medicare25 mi
Dermatology
NPI 1518169556
745 ORIENTA AVE SUITE 1201
Altamonte Springs, FL 32701
(800) 226-8968
✔ PECOS✔ Accepts Medicare25 mi
Dermatology
NPI 1720519226
2915 LAKEVIEW DR STE 32730
Fern Park, FL 32730
(407) 834-9091
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1962022798
2915 LAKEVIEW DR STE 2021
Fern Park, FL 32730
(866) 400-3376
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1952188633
4970 S US HIGHWAY 17/92
Casselberry, FL 32707
(407) 635-8012
✔ PECOS✔ Accepts Medicare26 mi
Dermatology
NPI 1942763941
409 SUMMIT RIDGE PL APT 107
Longwood, FL 32779
(435) 215-6012
✔ PECOS✔ Accepts Medicare27 mi
Plastic and Reconstructive Surgery
NPI 1306133004
120 INTERNATIONAL PKWY
Lake Mary, FL 32746
(866) 400-3376
✔ PECOS✔ Accepts Medicare31 mi
Physician Assistant
NPI 1457789307
120 INTERNATIONAL PARKWAY SUITE 300
Heathrow, FL 32746
(407) 333-4200
✔ PECOS✔ Accepts Medicare31 mi
Plastic and Reconstructive Surgery
NPI 1184850018
120 INTERNATIONAL PKWY SUITE 240
Heathrow, FL 32746
(407) 333-4200
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1700328515
202 LAKE MIRIAM DR STE 1
Lakeland, FL 33813
(863) 647-2333
✔ PECOS✔ Accepts Medicare35 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1407218308
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(813) 692-4171
✔ PECOS✔ Accepts Medicare53 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 Associates Of Florida Inc's NPI number?

The NPI number for Leavitt Medical Associates Of Florida Inc is 1194967331. It was assigned to this organization in the NPPES registry on April 2, 2009. The provider is doing business as Advanced Dermatology And Cosmetic Surgery.

Where is Leavitt Medical Associates Of Florida Inc located?

Leavitt Medical Associates Of Florida Inc is located at 410 Celebration Pl Suite 301, Celebration, FL 34747. The listed phone number is (407) 566-1616.

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, 2 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 Associates Of Florida Inc was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.