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ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1629212519
Dermatology in Miramar, FL

Active since April 23, 2009CLIA 10D1047602 · Waiver
12600 PEMBROKE RD, SUITE 312, MIRAMAR, FL 33027(954) 431-7681(954) 431-7682 Get Directions Write a Review

NPPES record last updated: June 4, 2013. 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 1629212519) is a healthcare organization registered as a dermatology in Miramar, Florida and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through May 10, 2027 and lists Nefrita Logan, Provider Service, as its authorized official.

NPPES Registry Identity

NPI1629212519
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address12600 PEMBROKE RD, SUITE 312Miramar, FL 33027-2544
Mailing Address151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 875-0518
Phone(954) 431-7681
Fax(954) 431-7682
Organization SubpartYes
Authorized OfficialNefrita LoganProvider Service · (407) 875-2080
Enumeration DateApril 23, 2009
Last NPPES UpdateJune 4, 2013
✔ NPI 1629212519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
12600 PEMBROKE RD, Miramar, FL 33027
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Other Names 1

Doing Business AsAdvanced Dermatology And Cosmetic Surgery

Other Identifiers 1

Medicare PIN98046BFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Waiver 10D1047602

Advanced Dermatology And Cosmetic Surgery · Pembroke Pines, FL
Active · expires May 10, 2027
CLIA Number10D1047602
Laboratory TypePhysician Office
Certificate Effective DateMay 11, 2025
Certificate Expiration DateMay 10, 2027
Laboratory DirectorJay S. Gottlieb
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology And Cosmetic Surgery3 SW 129th Avenue Ste 100, Pembroke Pines, FL 33027
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

DR. DENNIS A CORTES MD
Internal Medicine
12600 PEMBROKE RD, SUITE 206
MIRAMAR, FL 33027
Broward County (954) 435-6211
ANDRE CHRISTOPHER HOBBS M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
12600 PEMBROKE RD, SUITE 302
MIRAMAR, FL 33027
Broward County (786) 514-3290
DR. FEDERICO DIEZ D.D.S.
Dentist (Prosthodontics)
12600 PEMBROKE RD, SUITE 314
MIRAMAR, FL 33027
Broward County (954) 505-7631
DENTALMED ASSOCIATES, LLC
Dentist (General Practice)
12600 PEMBROKE RD, SUITE 314
MIRAMAR, FL 33027
Broward County (954) 505-7631
DR. RAMIRO MORALES JR. MD
Surgery (Plastic and Reconstructive Surgery)
12600 PEMBROKE RD, SUITE 306
MIRAMAR, FL 33027
Broward County (954) 450-6594
INNOVATIVE CARE INC
Internal Medicine (Geriatric Medicine)
12600 PEMBROKE RD, SUITE 100
MIRAMAR, FL 33027
Broward County (954) 432-5400
CENTER FOR ADVANCED MEDICINE
Internal Medicine
12600 PEMBROKE RD, SUITE 208
MIRAMAR, FL 33027
Broward County (954) 499-9488
MUDASIRU A CAREW D.O.
Internal Medicine
12600 PEMBROKE RD, STE 204
MIRAMAR, FL 33027
Broward County (954) 987-6276

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 1629212519. It was assigned to this organization in the NPPES registry on April 23, 2009. 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 12600 Pembroke Rd Suite 312, Miramar, FL 33027. The listed phone number is (954) 431-7681.

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 Waiver (number 10D1047602) is associated with this NPI, valid through May 10, 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 June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.