# CAROLYN MARIE LANDSBERG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598080715
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | ME114874 | FL | — |
| 2080S0010X | Pediatric Sports Medicine Physician | M9382 | TX | Yes |
| 2080S0010X | Pediatric Sports Medicine Physician | ME114874 | FL | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 03/30/2010
- **Last updated:** 03/04/2024