Leavitt Medical Associates of Florida Inc
NPI 1407146194ActiveOrganization· Dermatology· Bradenton, FL
Dermatology in Bradenton, Florida, registered in NPPES in April 2011, part of Leavitt Medical Assocaites of Florida Inc. The authorized official on file is Nefrita Logan, Provider Serivce Rep.
Overview
| NPI | 1407146194 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Leavitt Medical Assocaites of Florida Inc |
| NPI issued | Apr 14, 2011 |
| Last updated in NPPES | Apr 14, 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 |
|---|
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