OrganizationActive
Leavitt Medical Associates of Florida Inc
NPI 1659513455 · Dermatology Physician · Bay Harbor Islands, FL
Provider details
- NPI number
- 1659513455
- 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
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1080 Kane Concourse
Bay Harbor Islands, FL 33154-2107
Phone: (305) 864-6200
Fax: (305) 864-9906
Approximate (ZIP-level) locationGet directions
Mailing address
151 Southhall Ln
Maitland, FL 32751-7176
Other names (DBA / former)
- Doing business as
- Advanced Dermatology and Cosmetic Surgery
Registry dates
- Enumerated
- 2009-03-26
- Last updated
- 2014-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.