Individual
IAN LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5201 BABCOCK ST NE, SUITE 5, PALM BAY, FL 32905-4637
(321) 676-5323
(321) 951-9253
Mailing address
215 RIVERWAY DR, VERO BEACH, FL 32963-2637
(772) 231-6170
(321) 951-9253
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS0004065
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042068900
—
FL
01
—
0782103
CIGNA
FL
01
—
102370
AVMED
FL
01
—
120001775
RAILROAD MEDICARE
FL
01
—
1209448
FIRST HEALTH/MAIL HANDLER
FL
01
—
1488395
UNITED HEALTHCARE
FL
01
—
16-00554
UNITEDHEALTHCARE MEDIPASS
FL
05
—
161752100
—
FL
01
—
17030
STAYWELL/HEALTHEASE
FL
01
—
288660
AMERIGROUP
FL
01
—
40016
FLORIDIANCARE
FL
01
—
820868
AETNA
FL
01
—
FDA 155978
EMBRACED PROGRAM
FL
01
—
OS0004065
WORKERS COMPENSATION
FL
01
—
V2489
BCBS OF FLORIDA
FL
Enumeration date
10/12/2006
Last updated
11/28/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us