Leavitt Medical Associates of Florida Inc
NPI 1366697757ActiveOrganization· Dermatology· Boca Raton, FL
Dermatology in Boca Raton, Florida, registered in NPPES in November 2008, part of Leavitt Medical Associates of Florida Inc. The authorized official on file is Amy Declue, Director, Provider Services.
Overview
| NPI | 1366697757 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Leavitt Medical Associates of Florida Inc |
| NPI issued | Nov 26, 2008 |
| Last updated in NPPES | Dec 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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