Leavitt Medical Assocaittes of Florida Inc
NPI 1114218328ActiveOrganization· Dermatology· Valrico, FL
Dermatology in Valrico, Florida, registered in NPPES in April 2011, part of Leavitt Medical Associates of Florida Inc. The authorized official on file is Nefrita Logan, Provider Service Rep.
Overview
| NPI | 1114218328 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Leavitt Medical Associates of Florida Inc |
| NPI issued | Apr 21, 2011 |
| Last updated in NPPES | Apr 21, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
| Surgery, Plastic and Reconstructive Surgery | 2086S0122X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Dermatology providers in Valrico
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