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Individual

CARRIE LANDESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., P.A

Contact information

Practice address
16855 NE 2ND AVE, SUITE 102, NORTH MIAMI BEACH, FL 33162-1744
(305) 655-2800
(305) 655-2801
Mailing address
16855 NE 2ND AVE, SUITE 102, NORTH MIAMI BEACH, FL 33162-1744
(305) 655-2800
(305) 655-2801

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME66199
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257784400
FL
Enumeration date
02/22/2006
Last updated
06/11/2014
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