Individual
CODY A VANLANDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1511 SURGEONS DR, SUITE C, TALLAHASSEE, FL 32308-4632
(850) 701-0695
(850) 701-0696
Mailing address
PO BOX 12427, TALLAHASSEE, FL 32317-2427
(850) 297-0114
(850) 297-2020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME105089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003184000
—
FL
Enumeration date
05/15/2008
Last updated
07/20/2011
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