Individual
DR. RICKEY ELLIS LANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
368 NE FRANKLIN ST, LAKE CITY, FL 32055-3088
(386) 754-8120
(904) 754-8121
Mailing address
PO BOX 100371, GAINESVILLE, FL 32610-0371
(352) 338-2195
(352) 265-6027
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME39193
FL
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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