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Individual

MICHAEL D LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0291
(352) 265-0279
Mailing address
PO BOX 100374, GAINESVILLE, FL 32610-0374
(352) 265-0291
(352) 265-0279

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD-56187
IA
2085R0202X
Diagnostic Radiology Physician
Primary
ME173686
FL

Other

Enumeration date
04/03/2020
Last updated
03/25/2026
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