Landis, Ian

Landis, Ian is an individual health care provider with primary practice located at 5201 Babcock St Ne Suite 5, Palm Bay FL 32905-4637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Landis, Ian can be contacted via phone (321) 676-5323.

Contact Information

Primary practice address
5201 Babcock St Ne Suite 5 Palm Bay FL 32905-4637
Phone: (321) 676-5323
Fax: (321) 951-9253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X OS0004065 Florida

Profile Details

NPI number 1275622466
LBN Legal business name Landis, Ian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 28th, 2007 - about 17 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 1275622466 NPPES
Florida Other 102370 AVMED
Florida Other 288660 AVMED
Florida Other OS0004065 AVMED
Florida Other 1488395 AVMED
Florida Other 0782103 AVMED
Florida Other 17030 AVMED
Florida Other V2489 AVMED
Florida Other 16-00554 AVMED
Florida Other 820868 AVMED
Florida Other FDA 155978 AVMED
Florida Other 1209448 AVMED
Florida Other 40016 AVMED

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