Leavitt Medical Associates of Florida Inc
NPI 1265758379ActiveOrganization· Dermatology· Jacksonville, FL
Dermatology in Jacksonville, Florida, registered in NPPES in April 2010, part of Leavitt Medical Associates of Florida Inc. The authorized official on file is Nefrita Logan, CREDENTIALING COOR, Provider Services.
Overview
| NPI | 1265758379 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Leavitt Medical Associates of Florida Inc |
| NPI issued | Apr 14, 2010 |
| Last updated in NPPES | Apr 21, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | FL |
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 |
|---|
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