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Individual

JAMES P LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 HEALTHCARE WAY, SUITE 103, NORTH VENICE, FL 34275-3670
(941) 261-0160
(941) 261-0165
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME90581
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
266973
WELLCARE
FL
05
270715200
FL
01
294588
AVMED
FL
01
4374189
AETNA
FL
01
46179
BLUE CROSS BLUE SHIELD
FL
01
650303477005
TRICARE
FL
01
9686700
CIGNA
FL
01
P00134714
RAILROAD MEDICARE
FL
Enumeration date
08/09/2006
Last updated
10/01/2021
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