Individual
DR. LETITIA M LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1223 GATEWAY DR STE 1E, MELBOURNE, FL 32901-2607
(321) 984-3855
(321) 984-8483
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 984-3855
(321) 951-7408
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2185
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KI223
MEDICARE
FL
Enumeration date
06/18/2018
Last updated
07/20/2022
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