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DR. STEPHEN ELLIS LANDAY NPI 1588054415


NPI Information

NPI: 1588054415
Provider Name: DR. STEPHEN ELLIS LANDAY
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7109 NW 11TH PL STE E
GAINESVILLE, FL
ZIP 32605
Phone: (352) 331-6830
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DR. STEPHEN ELLIS LANDAY is a primary care clinic center in Gainesville, FL. DR. STEPHEN ELLIS LANDAY NPI is 1588054415. The provider is registered as an organization entity type.

The provider's business location address is:

7109 NW 11TH PL STE E
GAINESVILLE, FL
ZIP 32605-141
Phone: (352) 331-6830
Fax: (352) 331-2573

The provider's authorized official is Stephen E Landay .
The authorized official title is Dr. and has the following contact phone number (325) 331-6830.

The enumeration date for this NPI number is 1/30/2015 and was last updated on 1/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareME22129FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11255396107OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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