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ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1528097284
Dermatology in Heathrow, FL

Active since July 02, 2006CLIA 10D0973519 · Accreditation
120 INTERNATIONAL PKWY, 240, HEATHROW, FL 32746(407) 333-4200(407) 829-6637 Get Directions Write a Review

NPPES record last updated: August 29, 2017. Verified against the NPPES registry weekly; last sync: August 02, 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 1528097284) is a healthcare organization registered as a dermatology in Heathrow, Florida and active in the NPI registry since July 2006. The organization holds an CLIA Accreditation certificate valid through June 23, 2028 and lists Amy Declue, Director Of Provider Services, as its authorized official.

NPPES Registry Identity

NPI1528097284
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address120 INTERNATIONAL PKWY, 240Heathrow, FL 32746-5031
Mailing Address151 Southhall Ln, Ste 300Maitland, FL 32751-7233 · (407) 875-2080 · Fax (407) 650-3455
Phone(407) 333-4200
Fax(407) 829-6637
Organization SubpartNo
Authorized OfficialAmy DeclueDirector Of Provider Services · (407) 875-2080
Enumeration DateJuly 2, 2006
Last NPPES UpdateAugust 29, 2017
✔ NPI 1528097284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · OS5365
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 · License OS5365 (FL)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License OS5365 (FL)
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License OS5365 (FL)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License OS5365 (FL)
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS5365 (FL)
Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X · License OS5365 (FL)
Also ListedPlastic SurgeryTaxonomy 208200000X · License OS5365 (FL)
Also ListedSurgeryTaxonomy 208600000X · License OS5365 (FL)
120 INTERNATIONAL PKWY, Heathrow, FL 32746
Open in Google Maps ↗

Other Names 1

Doing Business AsAdvanced Dermatology And Cosmetic Surgery

Other Identifiers 5

Medicare PIN98046BFL
Medicare PIN98046HFL
Medicaid256877200FL
Medicare PIN98046FL
Medicare PIN98046AFL

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 Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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 Accreditation 10D0973519

Advanced Dermatology & Cosmetic Surgery · Heathrow, FL
Active · expires Jun 23, 2028
CLIA Number10D0973519
Laboratory TypePhysician Office
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorRafael Schulze
Laboratory Phone(407) 333-4200
Laboratory LocationAdvanced Dermatology & Cosmetic Surgery120 International Pkwy Ste 240, Heathrow, FL 32746
CLIA data matches this NPI record on: Address Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 7

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

HEATHROW CHIROPRACTIC INC
Chiropractor
120 INTERNATIONAL PKWY, SUITE 124
LAKE MARY, FL 32746
Seminole County (407) 829-2133
MEDWATCH, LLC
Case Management
120 INTERNATIONAL PKWY, SUITE 220
LAKE MARY, FL 32746
Seminole County (407) 333-8166
DR. KATHRYN MARIE DANIEL D.M.D.
Dentist
120 INTERNATIONAL PKWY, SUITE #264
HEATHROW, FL 32746
Seminole County (407) 333-2113
MICHAEL EUGENE BURTON M.D.
Surgery (Plastic and Reconstructive Surgery)
120 INTERNATIONAL PKWY, SUITE 240
HEATHROW, FL 32746
Seminole County (407) 333-4200
DR. NICOLE CHRISTINE CABBAD M.D., M.B.A.
Plastic Surgery
120 INTERNATIONAL PKWY
LAKE MARY, FL 32746
Seminole County (866) 400-3376
MRS. MELISSA ANNE DAVIDSON RN, BSN
Registered Nurse (Case Management)
120 INTERNATIONAL PKWY, SUITE 220
LAKE MARY, FL 32746
Seminole County (407) 333-8166
KAREN CLARK R.N.
Point of Service
120 INTERNATIONAL PKWY, SUITE 220
LAKE MARY, FL 32746
Seminole County (800) 432-8421

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 1528097284. It was assigned to this organization in the NPPES registry on July 2, 2006. 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 120 International Pkwy 240, Heathrow, FL 32746. The listed phone number is (407) 333-4200.

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 Accreditation (number 10D0973519) is associated with this NPI, valid through June 23, 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 Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers 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 August 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.