ADVANCED DERMATOLOGY
NPI 1366672610
Dermatology in Jacksonville, FL

Active since July 21, 2009
14546 OLD SAINT AUGUSTINE RD, SUITE 407, JACKSONVILLE, FL 32258(904) 400-6565 Get Directions Write a Review

NPPES record last updated: July 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Dermatology NPPES

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

ADVANCED DERMATOLOGY (NPI 1366672610) is a healthcare organization registered as a dermatology in Jacksonville, Florida and active in the NPI registry since July 2009. The organization lists Nefrita Logan, Provider Service Rep, as its authorized official.

NPPES Registry Identity

NPI1366672610
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address14546 OLD SAINT AUGUSTINE RD, SUITE 407Jacksonville, FL 32258-5468
Mailing Address2600 Lake Lucien Dr, Suite 180Maitland, FL 32751-7233 · (407) 875-2080 · Fax (407) 875-0518
Organization SubpartYesParent: Lmg
Authorized OfficialNefrita LoganProvider Service Rep · (407) 875-2080
Enumeration DateJuly 21, 2009
NPI 1366672610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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
14546 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258

Other Names 1

Doing Business AsAdvanced Dermatology

Other Identifiers 1

Medicare UPIN98046FL

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
14546 OLD SAINT AUGUSTINE RD, SUITE 401
JACKSONVILLE, FL 32258
Psychiatry & Neurology (Neurology)
14546 OLD SAINT AUGUSTINE RD, SUITE 301
JACKSONVILLE, FL 32258
Physical Therapist
14546 OLD SAINT AUGUSTINE RD, SUITE 403
JACKSONVILLE, FL 32258
Social Worker
14546 OLD SAINT AUGUSTINE RD, BLDG 1 SUITE 317
JACKSONVILLE, FL 32258
Massage Therapist
14546 OLD SAINT AUGUSTINE RD, SUITE 403
JACKSONVILLE, FL 32258
Specialist
14546 OLD SAINT AUGUSTINE RD, SUITE 107
JACKSONVILLE, FL 32258
Physical Therapist
14546 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Nurse Practitioner (Obstetrics & Gynecology)
14546 OLD SAINT AUGUSTINE RD, SUITE 402
JACKSONVILLE, FL 32258

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 1366672610. It was assigned to this organization in the NPPES registry on July 21, 2009. The provider is doing business as Advanced Dermatology.

Where is Leavitt Medical Associates Of Florida Inc located?

Leavitt Medical Associates Of Florida Inc is located at 14546 Old Saint Augustine Rd Suite 407, Jacksonville, FL 32258. The listed phone number is (904) 400-6565.

What is Leavitt Medical Associates 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 Associates Of Florida Inc was last updated on July 21, 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.