Leavitt Medical Associates of Florida Inc
NPI 1083872535ActiveOrganization· Dermatology· Sebastian, FL
Dermatology in Sebastian, Florida, registered in NPPES in May 2008, part of Leavitt Medical Associates of Florida Inc. The authorized official on file is Amy Declue, Director Of Provider Services. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083872535 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Leavitt Medical Associates of Florida Inc |
| NPI issued | May 30, 2008 |
| Last updated in NPPES | May 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Plastic Surgery | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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