ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1407146194
Dermatology in Bradenton, FL

Active since April 14, 2011
2001 MANATEE AVE E, SUITE 101, BRADENTON, FL 34208(888) 540-9660(407) 875-0518 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: October 18, 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 1407146194) is a healthcare organization registered as a dermatology in Bradenton, Florida and active in the NPI registry since April 2011. The organization lists Nefrita Logan, Provider Serivce Rep, as its authorized official.

NPPES Registry Identity

NPI1407146194
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address2001 MANATEE AVE E, SUITE 101Bradenton, FL 34208-1620
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 Assocaites Of Florida Inc
Authorized OfficialNefrita LoganProvider Serivce Rep · (407) 875-2080
Enumeration DateApril 14, 2011
✔ NPI 1407146194 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
2001 MANATEE AVE E, Bradenton, FL 34208

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. 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
Nurse Practitioner
NPI 1962805465
6450 38TH AVE N STE 420
St Petersburg, FL 33710
(727) 344-6851
✔ PECOS✔ Accepts Medicare24 mi
Dermatology
NPI 1710404082
209 PALERMO PL UNIT C
Venice, FL 34285
(941) 488-5300
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1932736865
9598 US HIGHWAY 301 S
Riverview, FL 33578
(866) 400-3376
✔ PECOS✔ Accepts Medicare29 mi
Plastic and Reconstructive Surgery
NPI 1215565635
8250 BRYAN DAIRY RD STE 250
Largo, FL 33777
(727) 393-5300
✔ PECOS29 mi
Dermatology
NPI 1649619982
8250 BRYAN DAIRY RD STE 250
Largo, FL 33777
(866) 400-3376
✔ PECOS✔ Accepts Medicare29 mi
Dermatology
NPI 1629665914
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(813) 651-1991
✔ PECOS33 mi
Dermatology
NPI 1902366008
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(866) 400-3376
✔ PECOS✔ Accepts Medicare33 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1407218308
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(813) 692-4171
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1942824594
621 MEDICAL CARE DR
Brandon, FL 33511
(813) 657-3330
✔ PECOS✔ Accepts Medicare34 mi
Dermatology
NPI 1982895298
26344 US HIGHWAY 19 N
Clearwater, FL 33761
(727) 669-3676
✔ PECOS✔ Accepts Medicare38 mi
Dermatology
NPI 1063496438
4132 WOODLANDS PARKWAY
Palm Harbor, FL 34685
(727) 786-5100
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1346846730
4132 WOODLANDS PKWY
Palm Harbor, FL 34685
(866) 400-3376
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1689142846
1693 NW PINE CREEK AVE
Arcadia, FL 34266
(941) 380-8492
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1629379458
14521 UNIVERSITY POINT PL
Tampa, FL 33613
(813) 977-3600
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1104966019
14521 UNIVERSITY POINT PL
Tampa, FL 33613
(813) 977-3600
✔ PECOS✔ Accepts Medicare41 mi
Nurse Practitioner
NPI 1770827776
1617 TAMIAMI TRL
Port Charlotte, FL 33948
(941) 613-2400
✔ PECOS✔ Accepts Medicare42 mi
Plastic and Reconstructive Surgery
NPI 1306924022
202 LAKE MIRIAM DR UNIT 1
Lakeland, FL 33813
(866) 400-3376
✔ PECOS✔ Accepts Medicare49 mi
Plastic and Reconstructive Surgery
NPI 1457988578
329 E OLYMPIA AVE
Punta Gorda, FL 33950
(866) 400-3376
✔ PECOS49 mi
Plastic and Reconstructive Surgery
NPI 1730111535
632 DEL PRADO BLVD N STE 201
Cape Coral, FL 33909
(239) 829-7102
✔ PECOS✔ Accepts Medicare68 mi
Otolaryngology
NPI 1154355493
11181 HEALTH PARK BLVD STE 2280
Naples, FL 34110
(239) 594-9075
✔ PECOS✔ Accepts Medicare96 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 1407146194. It was assigned to this organization in the NPPES registry on April 14, 2011. 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 2001 Manatee Ave E Suite 101, Bradenton, FL 34208. The listed phone number is (888) 540-9660.

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). 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 14, 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.