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Larry Jackson Landry, MD
Urology Physician in Melbourne, Florida
NPI 1134194608

Larry Jackson Landry is a Urology Physician based in Melbourne, FL. Larry Jackson Landry practices in Melbourne, FL and has the professional credentials of MD. The NPI Number for Larry Jackson Landry is 1134194608 and holds a License No. ME95172 (Florida).

The current practice location address for Larry Jackson Landry is 2200 W Eau Gallie Blvd, Melbourne, FL and can be reached out via phone at 321-253-1992 and via fax at 321-253-1844.

Location: 2200 W Eau Gallie Blvd, Melbourne, FL, 32935-8663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134194608
Provider Name
Larry Jackson Landry
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2200 W Eau Gallie Blvd, Melbourne, FL, 32935-8663
Phone Number
321-253-1992
Fax Number
321-253-1844
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
325257 01 FL WELLCARE
557262 01 FL AETNA
P00334279 01 FL RAILROAD MEDICARE
274787100 05 FL
2836813001 01 FL CIGNA
37428 01 FL BLUE CROSS BLUE SHIELD
1226087 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
2200 W Eau Gallie Blvd
City
Melbourne
State
Florida
Zip
32935-3166
Phone Number
321-253-1992
Fax Number
321-253-1844
person
Provider Business Mailing Address Details
Address
2200 W Eau Gallie Blvd
City
Melbourne
State
Florida
Zip
32935-3166
Phone Number
321-253-1992
Fax Number
321-253-1844
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
ME95172 (Florida)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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