Landry, Dale Thomas

Landry, Dale Thomas is an individual health care provider with primary practice located at 1034 Mar Walt Dr Suite 100, Fort Walton Beach FL 32547-6639. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Landry, Dale Thomas can be contacted via phone (850) 863-2153.

Contact Information

Primary practice address
1034 Mar Walt Dr Suite 100 Fort Walton Beach FL 32547-6639
Phone: (850) 863-2153
Fax: (850) 315-9350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X ME 123092 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME123092 Florida

Profile Details

NPI number 1518108588
LBN Legal business name Landry, Dale Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2009
Last updated Mar 7th, 2023 - about last year

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 1518108588 NPPES
Florida Other 151CH BCBS FL
Florida Other APPLYING ATN 598515 BCBS FL
Florida Other Z170402 BCBS FL
Florida Other ME123092 BCBS FL

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