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ADVANCED DERMATOLOGY AND COSMETIC SURGERY
NPI 1902067671
Dermatology in Palm Coast, FL

Active since June 24, 2008CLIA Certified · 2 labs
3 PINE CONE DR, SUITE 102, PALM COAST, FL 32137(888) 540-9660(407) 875-0518 Get Directions Write a Review

NPPES record last updated: April 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 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 1902067671) is a healthcare organization registered as a dermatology in Palm Coast, Florida and active in the NPI registry since June 2008. The organization holds 2 active CLIA laboratory certificates and lists Amy Declue, Director, Provider Services, as its authorized official.

NPPES Registry Identity

NPI1902067671
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address3 PINE CONE DR, SUITE 102Palm Coast, FL 32137-8685
Mailing Address2600 Lake Lucien Dr Ste 180Maitland, FL 32751-7235 · (407) 875-2080 · Fax (407) 875-0518
Phone(888) 540-9660
Fax(407) 875-0518
Organization SubpartYes
Authorized OfficialAmy DeclueDirector, Provider Services · (407) 875-2080
Enumeration DateJune 24, 2008
Last NPPES UpdateApril 21, 2010
✔ NPI 1902067671 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 ListedPlastic SurgeryTaxonomy 208200000X
3 PINE CONE DR, Palm Coast, FL 32137
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Other Names 1

Doing Business AsAdvanced Dermatology And Cosmetic Surgery

Other Identifiers 1

Medicare PIN98046FL

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 Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.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. Of these, 1 practice within 10 miles. 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
Tiffany Mcmurray, ARNP
Nurse Practitioner
NPI 1275666307
8 OFFICE PARK DR. # A
Palm Coast, FL 32137
(386) 446-4466
✔ PECOS✔ Accepts Medicare1.9 mi
William Bethea, DO
Dermatology
NPI 1326149949
725 W GRANADA BLVD UNIT 44
Ormond Beach, FL 32174
(386) 898-0547
✔ PECOS✔ Accepts Medicare21 mi
Charles Dunn, MD
Dermatology
NPI 1477976082
1720 DUNLAWTON AVE STE 2
Port Orange, FL 32127
(866) 400-3376
✔ PECOS✔ Accepts Medicare33 mi
Stephen Eubanks, M.D.
Dermatology
NPI 1942302799
1720 DUNLAWTON AVE STE 2
Port Orange, FL 32127
(386) 322-8310
✔ PECOS✔ Accepts Medicare33 mi
Stephen Mcaskill, MD
Dermatology
NPI 1154431617
818 N WOODLAND BLVD
Deland, FL 32720
(386) 738-8000
✔ PECOS✔ Accepts Medicare35 mi
William Steffes, M.D.
Dermatology
NPI 1578855300
600 W PLYMOUTH AVE
Deland, FL 32720
(386) 738-0322
✔ PECOS✔ Accepts Medicare35 mi
Danielle Marino
Nurse Practitioner
NPI 1033613898
12525 PHILIPS HWY
Jacksonville, FL 32256
(904) 400-6565
✔ PECOS✔ Accepts Medicare44 mi
Christine Moorhead, M.D.
Dermatology
NPI 1821286535
2893 ENTERPRISE RD STE 100
Debary, FL 32713
(386) 789-8600
✔ PECOS✔ Accepts Medicare45 mi
Martin Yungmann, DO
Dermatology
NPI 1891805057
2893 ENTERPRISE RD STE 100
Debary, FL 32713
(386) 789-8600
✔ PECOS✔ Accepts Medicare45 mi
Melinda Greenfield, DO
Dermatology
NPI 1841285723
520 A1A N STE 203
Ponte Vedra, FL 32082
(904) 567-3291
✔ PECOS✔ Accepts Medicare47 mi
Carmen Ramirez-Boyd, CRFNP
Nurse Practitioner
NPI 1730345943
4727 SUNBEAM RD
Jacksonville, FL 32257
(904) 880-0622
✔ PECOS✔ Accepts Medicare50 mi
Rachel Warren, NP-C
Nurse Practitioner
NPI 1356071658
6890 BELFORT OAKS PL
Jacksonville, FL 32216
(904) 296-1313
✔ PECOS✔ Accepts Medicare53 mi
Michael Burton, M.D.
Plastic and Reconstructive Surgery
NPI 1184850018
120 INTERNATIONAL PKWY SUITE 240
Heathrow, FL 32746
(407) 333-4200
✔ PECOS✔ Accepts Medicare55 mi
Nicole Cabbad, M.D., M.B.A.
Plastic and Reconstructive Surgery
NPI 1306133004
120 INTERNATIONAL PKWY
Lake Mary, FL 32746
(866) 400-3376
✔ PECOS✔ Accepts Medicare55 mi
Lauren Leavitt, PA
Physician Assistant
NPI 1457789307
120 INTERNATIONAL PARKWAY SUITE 300
Heathrow, FL 32746
(407) 333-4200
✔ PECOS✔ Accepts Medicare55 mi
Juan Carlos Martinez, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1700926896
1639 ATLANTIC BLVD STE 100
Jacksonville, FL 32207
(664) 003-3768
✔ PECOS✔ Accepts Medicare58 mi
Julie Voiselle, ARNP
Nurse Practitioner
NPI 1437600707
1816 SALK AVE
Tavares, FL 32778
(352) 343-2461
✔ PECOS✔ Accepts Medicare58 mi
Dilan Ipek
Nurse Practitioner
NPI 1952188633
4970 S US HIGHWAY 17/92
Casselberry, FL 32707
(407) 635-8012
✔ PECOS✔ Accepts Medicare61 mi
Adrianna Mills
Nurse Practitioner
NPI 1962022798
2915 LAKEVIEW DR STE 2021
Fern Park, FL 32730
(866) 400-3376
✔ PECOS✔ Accepts Medicare62 mi
Shreyal Patel
Nurse Practitioner
NPI 1992381198
151 SOUTHHALL LN STE 300
Maitland, FL 32751
(407) 875-2080
✔ PECOS✔ Accepts Medicare64 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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 10D2157867

Advanced Dermatology And Cosmetic Surgery · Palm Coast, FL
Active · expires Apr 30, 2027
CLIA Number10D2157867
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorStephen Eubanks
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology And Cosmetic Surgery3 Pine Cone Dr Ste 102, Palm Coast, FL 32137
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 10D2155365

Advanced Dermatology And Cosmetic Surgery · Palm Coast, FL
Active · expires Feb 26, 2028
CLIA Number10D2155365
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorRafael Schulze
Laboratory Phone(407) 284-3407
Laboratory LocationAdvanced Dermatology And Cosmetic Surgery8 Office Park Drive Suite A, Palm Coast, FL 32137
CLIA data matches this NPI record on: Name
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.

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 1902067671. It was assigned to this organization in the NPPES registry on June 24, 2008. 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 3 Pine Cone Dr Suite 102, Palm Coast, FL 32137. 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). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Leavitt Medical Associates Of Florida Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Leavitt Medical Associates Of Florida Inc accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, 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 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.