Landau, Evan M.
Landau, Evan M. is an individual health care provider with primary practice located at 1600 S Andrews Ave , Fort Lauderdale FL 33316-2510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Landau, Evan M. can be contacted via phone (954) 355-5365.Contact Information
Primary practice address
1600 S Andrews Ave
Fort Lauderdale FL 33316-2510
Phone: (954) 355-5365
Fax: (954) 468-5251
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 243554 | New York |
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | ME109336 | Florida |
Profile Details
NPI number | 1184824088 |
---|---|
LBN Legal business name | Landau, Evan M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2007 |
Last updated | Nov 29th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184824088 | NPPES |
Florida | Other | 662325 | WELLCARE |
Florida | Other | 01671620 | WELLCARE |
Florida | Other | 7422 | WELLCARE |
Florida | Other | P997247 | WELLCARE |
Florida | Other | 9414789 | WELLCARE |
Florida | Other | P00990539 | WELLCARE |
Florida | MEDICAID | 003841600 | WELLCARE |
Florida | Other | 14EC7 | WELLCARE |
Florida | Other | 349267 | WELLCARE |
Florida | Other | 2295602 | WELLCARE |
Florida | Other | F00335716002 | WELLCARE |
Florida | Other | 23340 | WELLCARE |
Florida | Other | 2810412 | WELLCARE |
Florida | Other | P0003152 | WELLCARE |
Florida | Other | P938024 | WELLCARE |
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