Leavitt Medical Associates of Florida Inc
NPI 1093973588 · Dermatology Physician · Port Orange, FL
Leavitt Medical Associates of Florida Inc is a Dermatology Physician organization in Port Orange, FL (NPI 1093973588).
Provider details
- NPI number
- 1093973588
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Leavitt Medical Associates of Florida Inc
- Organization subpart
- Yes
- Authorized official
- Amy Declue, Director, Provider Services(407) 875-2080
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Advanced Dermatology and Cosmetic Surgery
Registry dates
- Enumerated
- 2008-05-30
- Last updated
- 2010-04-21
Frequently asked questions
- What is Leavitt Medical Associates of Florida Inc's NPI number?
- Leavitt Medical Associates of Florida Inc's National Provider Identifier (NPI) is 1093973588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leavitt Medical Associates of Florida Inc?
- Leavitt Medical Associates of Florida Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Leavitt Medical Associates of Florida Inc located?
- Leavitt Medical Associates of Florida Inc's practice location on file with NPPES is 1720 Dunlawton Ave Ste 2, Port Orange, FL 32127-2916.
- What is Leavitt Medical Associates of Florida Inc's phone number?
- The practice phone number listed in the NPPES registry for Leavitt Medical Associates of Florida Inc is (386) 322-8310.
- Who is the authorized official for Leavitt Medical Associates of Florida Inc?
- The authorized official listed on Leavitt Medical Associates of Florida Inc's NPPES record is Amy Declue, Director, Provider Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leavitt Medical Associates of Florida Inc's NPI active?
- Yes — Leavitt Medical Associates of Florida Inc's NPI (1093973588) is active in the NPPES registry as of the last update on 2010-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.