ADVANCED DERMATOLOGY AND COSMETIC SURGERY – NPI #1417115908
Dermatology

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.

ADVANCED DERMATOLOGY AND COSMETIC SURGERY is a dermatologist located in THE VILLAGES, FL. NPPES has assigned the NPI number 1417115908 to ADVANCED DERMATOLOGY AND COSMETIC SURGERY on May 30, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ADVANCED DERMATOLOGY AND COSMETIC SURGERY” is a dba name, the actual legal business name for this organization is LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 16 years ago on Apr 21, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED DERMATOLOGY AND COSMETIC SURGERY below.

NPI Profile for
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC

NPI Number
1417115908
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Doing Business As (dba): ADVANCED DERMATOLOGY AND COSMETIC SURGERY
Primary location
910 OLD CAMP RD STE 166
THE VILLAGES, FL 32162-5604
Phone: (352) 205-4959 Fax: (352) 205-4957
Mailing address
2600 LAKE LUCIEN DR STE 180
MAITLAND, FL 32751-7235
Phone: (407) 875-2080 Fax: (407) 875-0518
Organization Subpart
Yes - ADVANCED DERMATOLOGY AND COSMETIC SURGERY is subpart of another organization.
Authorized Official
AMY DECLUE
DIRECTOR, PROVIDER SERVICES
Phone: (407) 875-2080
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
207NP0225X
- Dermatology / Pediatric Dermatology
207ND0101X
- Dermatology / MOHS-Micrographic Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.