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ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1316105810
Dermatology in Largo, FL

Active since May 30, 2008CLIA 10D1010043 · Certificate of Compliance
8250 BRYAN DAIRY RD STE 250, LARGO, FL 33777(727) 393-5300(727) 393-5301 Get Directions Write a Review

NPPES record last updated: November 12, 2013. Verified against the NPPES registry weekly; last sync: November 01, 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 1316105810) is a healthcare organization registered as a dermatology in Largo, Florida and active in the NPI registry since May 2008. The organization holds a CLIA Certificate of Compliance certificate valid through March 2, 2028 and lists Amy Declue, Director, Provider Services, as its authorized official.

NPPES Registry Identity

NPI1316105810
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address8250 BRYAN DAIRY RD STE 250Largo, FL 33777-1360
Mailing Address151 Southhall Ln, Ste 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 875-0518
Phone(727) 393-5300
Fax(727) 393-5301
Organization SubpartYes
Authorized OfficialAmy DeclueDirector, Provider Services · (407) 875-2080
Enumeration DateMay 30, 2008
Last NPPES UpdateNovember 12, 2013
✔ NPI 1316105810 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 ListedPlastic SurgeryTaxonomy 208200000X
8250 BRYAN DAIRY RD STE 250, Largo, FL 33777
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Other Names 1

Doing Business AsAdvanced Dermatology And Cosmetic Surgery

Other Identifiers 2

Medicare PIN98046HFL
Medicaid256877209FL

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 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 at this address and 4 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
Alexander Dane, D.O.
Dermatology
NPI 1649619982
8250 BRYAN DAIRY RD STE 250
Largo, FL 33777
(866) 400-3376
✔ PECOS✔ Accepts MedicareSame address
Amra Olafson, MD
Plastic and Reconstructive Surgery
NPI 1215565635
8250 BRYAN DAIRY RD STE 250
Largo, FL 33777
(727) 393-5300
✔ PECOSSame address
Sophie Eusebio, ARNP
Nurse Practitioner
NPI 1962805465
6450 38TH AVE N STE 420
St Petersburg, FL 33710
(727) 344-6851
✔ PECOS✔ Accepts Medicare4.9 mi
Maria Garcia Cardona, M.D.
Dermatology
NPI 1982895298
26344 US HIGHWAY 19 N
Clearwater, FL 33761
(727) 669-3676
✔ PECOS✔ Accepts Medicare9.8 mi
Robert Albergo, MD
Dermatology
NPI 1063496438
4132 WOODLANDS PARKWAY
Palm Harbor, FL 34685
(727) 786-5100
✔ PECOS✔ Accepts Medicare14 mi
Danielle Doyle, APRN
Nurse Practitioner
NPI 1346846730
4132 WOODLANDS PKWY
Palm Harbor, FL 34685
(866) 400-3376
✔ PECOS✔ Accepts Medicare14 mi
Raymond Shulstad, ARNP
Nurse Practitioner
NPI 1104966019
14521 UNIVERSITY POINT PL
Tampa, FL 33613
(813) 977-3600
✔ PECOS✔ Accepts Medicare25 mi
Yaquelin Quintero, NP-C
Nurse Practitioner
NPI 1629379458
14521 UNIVERSITY POINT PL
Tampa, FL 33613
(813) 977-3600
✔ PECOS✔ Accepts Medicare25 mi
Connie Lago, MD
Dermatology
NPI 1932736865
9598 US HIGHWAY 301 S
Riverview, FL 33578
(866) 400-3376
✔ PECOS✔ Accepts Medicare26 mi
Melissa Hodges, APRN
Nurse Practitioner
NPI 1942824594
621 MEDICAL CARE DR
Brandon, FL 33511
(813) 657-3330
✔ PECOS✔ Accepts Medicare28 mi
Anisha Bhanot
Dermatology
NPI 1629665914
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(813) 651-1991
✔ PECOS28 mi
Mckenna Abercrombie Dewees, DO
Dermatology
NPI 1902366008
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(866) 400-3376
✔ PECOS✔ Accepts Medicare29 mi
Julien Beattie-Lanoue, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1407218308
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(813) 692-4171
✔ PECOS✔ Accepts Medicare29 mi
Lisa Nyanda-Manalo, MD
Dermatology
NPI 1023187960
26809 TANIC DR STE 101
Wesley Chapel, FL 33544
(813) 435-5199
✔ PECOS✔ Accepts Medicare32 mi
Jahdonna Isaac, MD
Dermatology
NPI 1902466253
27612 CASHFORD CIR STE 102
Wesley Chapel, FL 33544
(866) 400-3376
✔ PECOS✔ Accepts Medicare32 mi
Keischa Cash, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1235380940
1503 W REYNOLDS ST
Plant City, FL 33563
(813) 514-4688
✔ PECOS✔ Accepts Medicare39 mi
Elise Bjelica, ARNP
Nurse Practitioner
NPI 1700328515
202 LAKE MIRIAM DR STE 1
Lakeland, FL 33813
(863) 647-2333
✔ PECOS✔ Accepts Medicare49 mi
Kenneth Phillips, MD
Plastic and Reconstructive Surgery
NPI 1306924022
202 LAKE MIRIAM DR UNIT 1
Lakeland, FL 33813
(866) 400-3376
✔ PECOS✔ Accepts Medicare49 mi
Robert Travis
Plastic and Reconstructive Surgery
NPI 1457988578
329 E OLYMPIA AVE
Punta Gorda, FL 33950
(866) 400-3376
✔ PECOS78 mi
Pedro Vieira, MD
Plastic and Reconstructive Surgery
NPI 1730111535
632 DEL PRADO BLVD N STE 201
Cape Coral, FL 33909
(239) 829-7102
✔ PECOS✔ Accepts Medicare97 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

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 Compliance 10D1010043

Leavitt Medical Associates Of Florida Inc D/B/A Advanced Dermatology & Cosmetic Surgery · Largo, FL
Active · expires Mar 2, 2028
CLIA Number10D1010043
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorDr. Alexander Dane
Laboratory Phone(407) 284-3407
Laboratory LocationLeavitt Medical Associates Of Florida Inc D/B/A Advanced Dermatology & Cosmetic Surgery8250 Bryan Dairy Rd Ste 250, Largo, FL 33777
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 1316105810. It was assigned to this organization in the NPPES registry on May 30, 2008. 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 8250 Bryan Dairy Rd Ste 250, Largo, FL 33777. The listed phone number is (727) 393-5300.

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 at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Leavitt Medical Associates Of Florida Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1010043) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 November 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.