Organization
MEDICAL AESTHETIC ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABNER MARTIN LANDRY III MD (OWNER/PHYSICIAN)
(727) 586-0545
Entity
Organization
Contact information
Practice address
2520 W BAY DR, LARGO, FL 33770-1935
(727) 586-0545
(727) 586-0547
Mailing address
2520 W BAY DR, LARGO, FL 33770-1935
(727) 586-0545
(727) 586-0547
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME56269
FL
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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