Leavitt Medical Associates of Florida Inc
NPI 1881984565ActiveOrganization· Dermatology· Brooksville, FL
Dermatology in Brooksville, Florida, registered in NPPES in April 2011, part of Leavitt Medical Associates of Florida Inc. The authorized official on file is Amy Declue, Director, Provider Services.
Overview
| NPI | 1881984565 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Leavitt Medical Associates of Florida Inc |
| NPI issued | Apr 14, 2011 |
| Last updated in NPPES | Dec 4, 2014 |
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 · 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 |
|---|
Other dermatologists in Brooksville
- 1114916301
- 1164461976
- 1235124967
- 1932632239
- 1114235389
- 1679525653
- 1679761563
- 1649138140