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Deactivated NPI 1275729162 Deactivated / Inactive NPI Female Practitioner

Carmen Maria De Leon , MACCC SLP

Speech-Language Pathologist • Fort Myers, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Carmen De Leon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 24, 2007
NPI Deactivation Date November 01, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Carmen De Leon, MACCC SLP was a registered Speech-Language Pathologist practicing in Fort Myers, FL. Throughout an active medical career spanning 16 years, Carmen De Leon provided care at the practice location at 2709 SWAMP CABBAGE CT until profile deactivation on 2023-11-01.

Practice Location & Contact Primary Location

Practice Address

2709 Swamp Cabbage Ct
Suite #102

Fort Myers, FL 339019355

Telephone 2399394114

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fort Myers, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
149 Specialists

Practicing in Fort Myers, FL (11640 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA 505

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 01, 2023

Record deactivated on November 01, 2023

NPI Profile Active September 24, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 24, 2007

Registered at 2709 SWAMP CABBAGE CT, SUITE #102, FORT MYERS, FL 339019355 (Tel: 2399394114)

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Updated Business Mailing Address September 24, 2007

Registered at 1449 LINHART AVE, FORT MYERS, FL 339016612 (Tel: 2399394114)

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Provider Name / Credentials Updated September 24, 2007

Recorded as CARMEN DE LEON, M.A. C.C.C. SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2007

Speech-Language Pathologist (License #SA 505 in FL)

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Initial NPI Registration & Enumeration September 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275729162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2007
Last Update: September 24, 2007
Deactivation Date: November 01, 2023

Mailing Address

1449 Linhart Ave

Fort Myers, FL 339016612

Phone: 2399394114

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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