Healthcare Provider Details

I. General information

NPI: 1164602231
Provider Name (Legal Business Name): KARLA M LEAVITT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARLA M LEAVITT CARABALLO MD

II. Dates (important events)

Enumeration Date: 11/06/2007
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 W GORE ST STE 300
ORLANDO FL
32806-1014
US

IV. Provider business mailing address

207 W GORE ST STE 300
ORLANDO FL
32806-1014
US

V. Phone/Fax

Practice location:
  • Phone: 321-841-8555
  • Fax: 321-841-2425
Mailing address:
  • Phone: 321-841-8555
  • Fax: 321-841-2425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberME132560
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number18028
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: