OrganizationActive
Leavitt Medical Associates of Florida Inc
NPI 1730404146 · Dermatology Physician · Boca Raton, FL
Provider details
- NPI number
- 1730404146
- 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
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
9030 Kimberly Blvd
Boca Raton, FL 33434-2823
Phone: (954) 431-7681
Fax: (954) 431-7682
Street-level locationGet directions
Mailing address
151 Southhall Ln
Maitland, FL 32751-7176
Other names (DBA / former)
- Doing business as
- Advacned Dermatology and Cosmetic Surgery
Registry dates
- Enumerated
- 2010-03-30
- 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.