ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1891953303
Dermatology in Cape Coral, FL

NPI Status: Active since May 30, 2008

Contact Information

632 DEL PRADO BLVD N
SUITE 201
CAPE CORAL, FL
ZIP 33909
Phone: (239) 829-7102
Fax: (239) 829-7102

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  • Organization
  • Dermatology
  • Accepts Insurance
  • CLIA Number: 10D2123452
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-28-2027

About ADVANCED DERMATOLOGY AND COSMETIC SURGERY

This page provides the complete NPI Profile along with additional information for Advanced Dermatology And Cosmetic Surgery, a provider established in Cape Coral, Florida operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1891953303 assigned on May 2008. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Advanced Dermatology And Cosmetic Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Advanced Dermatology And Cosmetic Surgery. The authorized official of this NPI record is Amy Declue (Director, Provider Services)

NPI
1891953303
Provider Legal Name
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Other Organization Name
ADVANCED DERMATOLOGY AND COSMETIC SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
632 DEL PRADO BLVD N SUITE 201 CAPE CORAL, FL 33909
Location Phone
(239) 829-7102
Location Fax
(239) 829-7102
Mailing Address
151 SOUTHHALL LN STE 300 MAITLAND, FL 32751
Mailing Phone
(407) 875-2080
Mailing Fax
(239) 829-7102
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-30-2008
Last Update Date
12-04-2014
Code Navigator

A dermatologist like Advanced Dermatology And Cosmetic Surgery is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMY DECLUE

Authorized Official Title
DIRECTOR, PROVIDER SERVICES
Authorized Official Phone
(407) 875-2080

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
98046BMEDICARE PIN (08)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2123452
Facility Type
Physician Office
Certificate Effective Date
March 29, 2025
Certificate Expiration Date
March 28, 2027
Laboratory Director
DR. THOMAS J. SINGER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Advanced Dermatology And Cosmetic Surgery on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for ADVANCED DERMATOLOGY AND COSMETIC SURGERY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891953303, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 1 + 8 + 5 + 6 + 3 + 0 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1891953303.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Physical Therapy Assistant
632 DEL PRADO BLVD N, SUITE 101
CAPE CORAL, FL 33909
Dermatology
632 DEL PRADO BLVD N, SUITE 201
CAPE CORAL, FL 33909
Physical Medicine & Rehabilitation (Pain Medicine)
632 DEL PRADO BLVD N, SUITE 101
CAPE CORAL, FL 33909
Physical Therapist
632 DEL PRADO BLVD N, SUITE 101
CAPE CORAL, FL 33909
Physician Assistant
632 DEL PRADO BLVD N, STE 201
CAPE CORAL, FL 33909
Physician Assistant
632 DEL PRADO BLVD N, STE 201
CAPE CORAL, FL 33909
Neurological Surgery
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909
Nurse Practitioner (Family)
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909
Physician Assistant
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909
Physician Assistant (Surgical)
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909
Physician Assistant (Medical)
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909
Neurological Surgery
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909
Physician Assistant
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909
Neurological Surgery
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909
Physician Assistant
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909
Neurological Surgery
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909
Physician Assistant
632 DEL PRADO BLVD N
CAPE CORAL, FL 33909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891953303, enumerated as an "organization" on May 30, 2008.

The provider is located at 632 DEL PRADO BLVD N SUITE 201 CAPE CORAL, FL 33909 and the phone number is (239) 829-7102.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL), Florida. Please consult your insurance carrier or call the provider to verify.