Carolyn Renee Leavitt

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0064799 Issued in FL

Practice address

6705 Red Road Suite 611
Coral Gables, FL 33143

Phone

(305) 662-1610

NPI assigned

May 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306054051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12745 SW 69TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331566220",
            "telephone_number": "305-662-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 RED ROAD SUITE 611",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33143",
            "telephone_number": "305-662-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAVITT",
        "first_name": "CAROLYN",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0064799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Le Bona, DMD
• Domingo J Leal, MD
• Drialys Leal
• Leanne Shapiro, PSYD, L.L.C.
• Leavitt Medical Associates of Florida Inc (Advanced Dermatology and Cosmetic SUr)
• Diamond Leben, MASTERS
• Patrick Leber, PHYSICIAN ASSISTANT
• Carol Lebischak, M.D.
• Noemi Iliana Lebron
• Leda a Alzugaray MD PA

• Specialist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.