Leavitt, Ronald

Leavitt, Ronald is an sole proprietor health care provider with primary practice located at 12670 Creekside Ln Suite 202, Fort Myers FL 33919-3370. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Leavitt, Ronald can be contacted via phone (239) 482-2663.

Contact Information

Primary practice address
12670 Creekside Ln Suite 202 Fort Myers FL 33919-3370
Phone: (239) 482-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 21597 Connecticut
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 21597 Connecticut
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 042-0011868 Vermont

Profile Details

NPI number 1629059738
LBN Legal business name Leavitt, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2005
Last updated Feb 25th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629059738 NPPES
Connecticut MEDICAID 001215979

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