Leavitt Medical Associates of Florida Inc
NPI 1104084672ActiveOrganization· Dermatology· Orlando, FL
Dermatology in Orlando, Florida, registered in NPPES in May 2008, part of Leavitt Medical Associates of Florida Inc. The authorized official on file is Amy Declue, Director, Provider Services.
Overview
| NPI | 1104084672 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Leavitt Medical Associates of Florida Inc |
| NPI issued | May 30, 2008 |
| Last updated in NPPES | Apr 21, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Emergency Medicine | 207P00000X | — | — |
| Plastic Surgery | 208200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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