ADVANCED DERMATOLOGY AND COSMETIC SUR – NPI #1528226081
Dermatology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

ADVANCED DERMATOLOGY AND COSMETIC SUR is a dermatologist located in DELRAY BEACH, FL. NPPES has assigned the NPI number 1528226081 to ADVANCED DERMATOLOGY AND COSMETIC SUR 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 SUR” is a dba name, the actual legal business name for this organization is LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC. The primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

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 SUR below.

NPI Profile for
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC

NPI Number
1528226081
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 SUR
Primary location
1300 NW 17TH AVE
SUITE 130
DELRAY BEACH, FL 33445-2578
Phone: (561) 819-0957 Fax: (561) 549-0173
Mailing address
2600 LAKE LUCIEN DR
SUITE 180
MAITLAND, FL 32751-7233
Phone: (407) 875-2080 Fax: (407) 875-0518
Organization Subpart
Yes - ADVANCED DERMATOLOGY AND COSMETIC SUR is subpart of another organization.
Authorized Official
NEFRITA LOGAN
PROV SER REP
Phone: (407) 875-2080
Updated
Identifiers

Identifiers for ADVANCED DERMATOLOGY AND COSMETIC SUR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL256877213
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
207ND0900X
- Dermatology / Dermatopathology (Primary)

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.