OrganizationActive
Leavitt Medical Associates of Florida Inc
NPI 1104084672 · Dermatology Physician · Orlando, FL
Provider details
- NPI number
- 1104084672
- 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
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Plastic Surgery Physician208200000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
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
14050 Town Loop Blvd Ste 203
Orlando, FL 32837-6190
Phone: (407) 852-6650
Fax: (407) 852-6035
Street-level locationGet directions
Mailing address
2600 Lake Lucien Dr Ste 180
Maitland, FL 32751-7235
Other names (DBA / former)
- Doing business as
- Advanced Dermatology and Cosmetic Surgery
Registry dates
- Enumerated
- 2008-05-30
- Last updated
- 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.