Individual
DR. RONALD LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12670 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
Mailing address
12670 CREEKSIDE LN, SUITE 202, FORT MYERS, FL 33919-3370
(239) 482-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
21597
CT
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
042-0011868
VT
207XS0106X
Orthopaedic Hand Surgery Physician
21597
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001215979
—
CT
Enumeration date
11/07/2005
Last updated
02/25/2013
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