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ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1518257229
Dermatology in Zephyrhills, FL

Active since April 14, 2011CLIA 10D2023282 · Certificate of Compliance
6719 GALL BLVD, UNIT 106, ZEPHYRHILLS, FL 33542(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: November 08, 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 1518257229) is a healthcare organization registered as a dermatology in Zephyrhills, Florida and active in the NPI registry since April 2011. The organization holds a CLIA Certificate of Compliance certificate valid through July 4, 2028 and lists Nefrita Logan, Provider Service Rep, as its authorized official.

NPPES Registry Identity

NPI1518257229
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address6719 GALL BLVD, UNIT 106Zephyrhills, FL 33542-2571
Mailing Address2600 Lake Lucien Dr, Suite 180Maitland, FL 32751-7233 · (401) 787-5208 · Fax (407) 875-0518
Phone(888) 540-9660
Fax(407) 875-0518
Organization SubpartYes
Authorized OfficialNefrita LoganProvider Service Rep · 40178752080
Enumeration DateApril 14, 2011
✔ NPI 1518257229 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
6719 GALL BLVD, Zephyrhills, FL 33542
Open in Google Maps ↗

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

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. 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
Jahdonna Isaac, MD
Dermatology
NPI 1902466253
27612 CASHFORD CIR STE 102
Wesley Chapel, FL 33544
(866) 400-3376
✔ PECOS✔ Accepts Medicare11 mi
Lisa Nyanda-Manalo, MD
Dermatology
NPI 1023187960
26809 TANIC DR STE 101
Wesley Chapel, FL 33544
(813) 435-5199
✔ PECOS✔ Accepts Medicare12 mi
Keischa Cash, DNP, APRN, FNP-BC
Nurse Practitioner
NPI 1235380940
1503 W REYNOLDS ST
Plant City, FL 33563
(813) 514-4688
✔ PECOS✔ Accepts Medicare17 mi
Yaquelin Quintero, NP-C
Nurse Practitioner
NPI 1629379458
14521 UNIVERSITY POINT PL
Tampa, FL 33613
(813) 977-3600
✔ PECOS✔ Accepts Medicare18 mi
Raymond Shulstad, ARNP
Nurse Practitioner
NPI 1104966019
14521 UNIVERSITY POINT PL
Tampa, FL 33613
(813) 977-3600
✔ PECOS✔ Accepts Medicare18 mi
Melissa Hodges, APRN
Nurse Practitioner
NPI 1942824594
621 MEDICAL CARE DR
Brandon, FL 33511
(813) 657-3330
✔ PECOS✔ Accepts Medicare23 mi
Mckenna Abercrombie Dewees, DO
Dermatology
NPI 1902366008
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(866) 400-3376
✔ PECOS✔ Accepts Medicare23 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 Medicare23 mi
Anisha Bhanot
Dermatology
NPI 1629665914
540 MEDICAL OAKS AVE STE 102
Brandon, FL 33511
(813) 651-1991
✔ PECOS23 mi
Elise Bjelica, ARNP
Nurse Practitioner
NPI 1700328515
202 LAKE MIRIAM DR STE 1
Lakeland, FL 33813
(863) 647-2333
✔ PECOS✔ Accepts Medicare24 mi
Bobbie Ferrell, ARNP
Nurse Practitioner
NPI 1184961419
202 LAKE MIRIAM DR STE S1
Lakeland, FL 33813
(863) 647-2333
✔ PECOS✔ Accepts Medicare24 mi
Sandra Pena, MD
Dermatology
NPI 1427587740
202 LAKE MIRIAM DR STE 1
Lakeland, FL 33813
(866) 400-3376
✔ PECOS✔ Accepts Medicare24 mi
Samantha Rios, APRN
Nurse Practitioner
NPI 1780339325
202 LAKE MIRIAM DR STE S1
Lakeland, FL 33813
(866) 400-3376
✔ PECOS✔ Accepts Medicare24 mi
Kenneth Phillips, MD
Plastic and Reconstructive Surgery
NPI 1306924022
202 LAKE MIRIAM DR UNIT 1
Lakeland, FL 33813
(866) 400-3376
✔ PECOS✔ Accepts Medicare24 mi
Connie Lago, MD
Dermatology
NPI 1932736865
9598 US HIGHWAY 301 S
Riverview, FL 33578
(866) 400-3376
✔ PECOS✔ Accepts Medicare28 mi
Robert Albergo, MD
Dermatology
NPI 1063496438
4132 WOODLANDS PARKWAY
Palm Harbor, FL 34685
(727) 786-5100
✔ PECOS✔ Accepts Medicare34 mi
Danielle Doyle, APRN
Nurse Practitioner
NPI 1346846730
4132 WOODLANDS PKWY
Palm Harbor, FL 34685
(866) 400-3376
✔ PECOS✔ Accepts Medicare34 mi
Julie Goldstein
Nurse Practitioner
NPI 1275176042
15222 BOOK CLUB RD
Winter Garden, FL 34787
(954) 214-1167
✔ PECOS✔ Accepts Medicare35 mi
Amra Olafson, MD
Plastic and Reconstructive Surgery
NPI 1215565635
8250 BRYAN DAIRY RD STE 250
Largo, FL 33777
(727) 393-5300
✔ PECOS43 mi
Lauren Leavitt, PA
Physician Assistant
NPI 1457789307
120 INTERNATIONAL PARKWAY SUITE 300
Heathrow, FL 32746
(407) 333-4200
✔ PECOS✔ Accepts Medicare61 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 10D2023282

Advanced Dermatology And Cosmetic Surgery · Zephyrhills, FL
Active · expires Jul 4, 2028
CLIA Number10D2023282
Laboratory TypePhysician Office
Certificate Effective DateJuly 5, 2026
Certificate Expiration DateJuly 4, 2028
Laboratory DirectorDr. Julien Beattie-Lanoue
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology And Cosmetic Surgery6719 Gall Blvd Ste 106, Zephyrhills, FL 33542
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 1518257229. 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 6719 Gall Blvd Unit 106, Zephyrhills, FL 33542. 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.

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

Yes. A Certificate of Compliance (number 10D2023282) is associated with this NPI, valid through July 4, 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 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.