Individual
DR. EVAN M. LANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510
(954) 355-5365
(954) 468-5251
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
243554
NY
2085R0001X
Radiation Oncology Physician
Primary
ME109336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003841600
—
FL
01
—
01671620
AMERIGROUP
FL
01
—
14EC7
BCBS FL
FL
01
—
2295602
GHI
FL
01
—
23340
MEDICA
FL
01
—
2810412
CIGNA
FL
01
—
349267
AVMED
FL
01
—
662325
WELLCARE
FL
01
—
7422
DIMENSIONS
FL
01
—
9414789
AETNA
FL
01
—
F00335716002
UNITED HEALTHCARE
FL
01
—
P0003152
FLORIDA HEALTHCARE PLUS
FL
01
—
P00990539
RAILROAD MEDICARE
FL
01
—
P938024
OPTIMUN
FL
01
—
P997247
FREEDOM HEALTH
FL
Enumeration date
07/19/2007
Last updated
11/29/2012
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