Individual
MARTIN J LANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7800 US HIGHWAY 98 W, ER, MIRAMAR BEACH, FL 32550-7228
(850) 278-3000
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 278-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
41056-020
WI
207P00000X
Emergency Medicine Physician
Primary
ME107700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002445100
—
FL
05
—
32571000
—
WI
01
—
930076656
MEDICARE RAILROAD
WI
01
—
930107049
MEDICARE RAILROAD
WI
Enumeration date
07/10/2006
Last updated
02/15/2016
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