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ADVANCED DERMATOLOGY AND COSMETIC SUR
NPI 1487812947
Dermatology in Boca Raton, FL

Active since May 30, 2008CLIA 10D0867664 · Certificate of Compliance
1905 CLINT MOORE RD, SUITE 103, BOCA RATON, FL 33496(561) 241-4474(561) 241-9667 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Dermatology And Cosmetic Sur NPPES

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

ADVANCED DERMATOLOGY AND COSMETIC SUR (NPI 1487812947) is a healthcare organization registered as a dermatology in Boca Raton, Florida and active in the NPI registry since May 2008. The organization holds a CLIA Certificate of Compliance certificate valid through January 23, 2027 and lists Amy Declue, Director, Provider Services, as its authorized official.

NPPES Registry Identity

NPI1487812947
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address1905 CLINT MOORE RD, SUITE 103Boca Raton, FL 33496-2658
Mailing Address151 Southhall Ln, Ste 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 650-3455
Phone(561) 241-4474
Fax(561) 241-9667
Organization SubpartYes
Authorized OfficialAmy DeclueDirector, Provider Services · (407) 875-2080
Enumeration DateMay 30, 2008
Last NPPES UpdateDecember 4, 2014
✔ NPI 1487812947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPlastic SurgeryTaxonomy 208200000X
1905 CLINT MOORE RD, Boca Raton, FL 33496
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Other Names 1

Doing Business AsAdvanced Dermatology And Cosmetic Sur

Other Identifiers 1

Medicare PIN98046BFL

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 ›

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 10D0867664

Advanced Dermatology And Cosmetic Surgery · Boca Raton, FL
Active · expires Jan 23, 2027
CLIA Number10D0867664
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorDr. Scott Podnos
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology And Cosmetic Surgery1905 Clint Moore Road Ste 103, Boca Raton, FL 33496
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.

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.

DR. CLAY BRYANT SHUMWAY DPM
Podiatrist
1905 CLINT MOORE RD
BOCA RATON, FL 33496
Palm Beach County (407) 960-1717
MICHELLE Y BRUZZO MD PA
Internal Medicine
1905 CLINT MOORE RD, SUITE 302
BOCA RATON, FL 33496
Palm Beach County (561) 988-5387
ROBERT EDGAR SONNEBORN MD
Internal Medicine
1905 CLINT MOORE RD, SUITE 201
BOCA RATON, FL 33496
Palm Beach County (561) 994-5454
ERIC SEAN LAZAR MD
Internal Medicine (Nephrology)
1905 CLINT MOORE RD, SUITE 212
BOCA RATON, FL 33496
Palm Beach County (561) 989-9070
CENTRAL PALM BEACH PHYSICIANS & URGENT CARE INC
Specialist
1905 CLINT MOORE RD, SUITE 308
BOCA RATON, FL 33496
Palm Beach County (561) 967-8888
OWEN JAY RHEINGOLD MD
Internal Medicine
1905 CLINT MOORE RD, SUITE 204
BOCA RATON, FL 33496
Palm Beach County (561) 988-0995
MRS. LINDSAY MARIE LAZZERI PT
Physical Therapist
1905 CLINT MOORE RD, SUITE 308
BOCA RATON, FL 33496
Palm Beach County (561) 955-9384
DANIEL S. KOVACS, M.D., P.A.
Plastic Surgery
1905 CLINT MOORE RD, SUITE 101
BOCA RATON, FL 33496
Palm Beach County (561) 912-9191

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 1487812947. It was assigned to this organization in the NPPES registry on May 30, 2008. The provider is doing business as Advanced Dermatology And Cosmetic Sur.

Where is Leavitt Medical Associates Of Florida Inc located?

Leavitt Medical Associates Of Florida Inc is located at 1905 Clint Moore Rd Suite 103, Boca Raton, FL 33496. The listed phone number is (561) 241-4474.

What is Leavitt Medical Associates Of Florida Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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

Yes. A Certificate of Compliance (number 10D0867664) is associated with this NPI, valid through January 23, 2027. 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 December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.