Organization
DR. STEPHEN ELLIS LANDAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN E LANDAY M.D. (DR.)
(325) 331-6830
Entity
Organization
Contact information
Practice address
7109 NW 11TH PL STE E, GAINESVILLE, FL 32605-3141
(352) 331-6830
(352) 331-2573
Mailing address
7109 NW 11TH PL STE E, GAINESVILLE, FL 32605-3141
(352) 331-6830
(352) 331-2573
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME22129
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255396107
NPI
FL
Enumeration date
01/30/2015
Last updated
01/30/2015
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