ADVANCED DERMATOLOGY AND COSMETIC SURGERY – NPI #1619287844
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

ADVANCED DERMATOLOGY AND COSMETIC SURGERY is a plastic surgeon located in MELBOURNE, FL. NPPES has assigned the NPI number 1619287844 to ADVANCED DERMATOLOGY AND COSMETIC SURGERY on October 21, 2010. 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 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 13 years ago on Oct 02, 2013. 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
1619287844
Enumeration Date

(more than 15 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
1513 S HARBOR CITY BLVD
MELBOURNE, FL 32901-4681
Phone: (321) 951-2639 Fax: (866) 948-8094
Mailing address
151 SOUTHHALL LN
SUITE 300
MAITLAND, FL 32751-7176
Phone: (407) 875-2080 Fax: (407) 875-0518
Organization Subpart
Yes - ADVANCED DERMATOLOGY AND COSMETIC SURGERY is subpart of another organization.
Authorized Official
NEFRITA LOGAN
REP
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
208200000X
- Plastic Surgery (Primary)
207N00000X
- Dermatology

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.