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Leavitt Medical Associates of Florida Inc

Dermatology Physician in Heathrow, FL · enumerated 2006 · authorized official Amy Declue, Director of Provider Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528097284

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Registry record

Entity type Organization (Type 2)
Legal business name Leavitt Medical Associates of Florida Inc
Other name <Unavail>
Practice address 120 International Pkwy, 240, Heathrow, FL, 32746
Phone (407) 333-4200
Fax (407) 829-6637
Enumeration date Jul 2, 2006
Last updated in NPPES Aug 29, 2017

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License OS5365 (FL) Primary
207ND0101X MOHS-Micrographic Surgery Physician Allopathic & Osteopathic Physicians · License OS5365 (FL) Secondary
207ND0900X Dermatopathology Physician Allopathic & Osteopathic Physicians · License OS5365 (FL) Secondary
207NP0225X Pediatric Dermatology Physician Allopathic & Osteopathic Physicians · License OS5365 (FL) Secondary
207NS0135X Procedural Dermatology Physician Allopathic & Osteopathic Physicians · License OS5365 (FL) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License OS5365 (FL) Secondary
207RA0201X Allergy & Immunology (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License OS5365 (FL) Secondary
208200000X Plastic Surgery Physician Allopathic & Osteopathic Physicians · License OS5365 (FL) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License OS5365 (FL) Secondary

Authorized official

Name Amy Declue
Title Director of Provider Services
Phone (407) 875-2080

Other identifiers

Identifier Type State Issuer
256877200 Medicaid FL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Leavitt Medical Associates of Florida Inc located?
The practice location on file with NPPES is in Heathrow, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-08-29. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-08-29.