# LANSKY MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013379015
- **Authorized official:** MEYER LANSKY MD (OWNER)
- **Authorized official phone:** (407) 985-3916

## Contact information

- **Practice address:** 3900 S GOLDENROD RD STE 142, ORLANDO, FL 32822-5629
- **Practice address phone:** (407) 985-3916
- **Practice address fax:** (407) 985-3917
- **Mailing address:** 3900 S GOLDENROD RD STE 142, ORLANDO, FL 32822-5629
- **Mailing address phone:** (407) 985-3916
- **Mailing address fax:** (407) 985-3917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ACN597 | FL | Yes |

## Other

- **Enumeration date:** 03/28/2016
- **Last updated:** 03/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 013637800 | — | FL |