person
Ian Landis, DO
Diagnostic Radiology Physician in Palm Bay, Florida
NPI 1275622466

Ian Landis is a Diagnostic Radiology Physician based in Vero Beach, FL and is specialized in Diagnostic Radiology. Ian Landis practices in Palm Bay, FL and has the professional credentials of DO. The NPI Number for Ian Landis is 1275622466 and holds a License No. OS0004065 (Florida).

The current practice location address for Ian Landis is 5201 Babcock St Ne, Palm Bay, FL and can be reached out via phone at 321-676-5323 and via fax at 321-951-9253.

Location: 5201 Babcock St Ne, Palm Bay, FL, 32963-2637
person
Provider Profile Details
NPI Number
1275622466
Provider Name
Ian Landis
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
5201 Babcock St Ne, Palm Bay, FL, 32963-2637
Phone Number
321-676-5323
Fax Number
321-951-9253
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102370 01 FL AVMED
288660 01 FL AMERIGROUP
OS0004065 01 FL WORKERS COMPENSATION
1488395 01 FL UNITED HEALTHCARE
0782103 01 FL CIGNA
17030 01 FL STAYWELL/HEALTHEASE
V2489 01 FL BCBS OF FLORIDA
16-00554 01 FL UNITEDHEALTHCARE MEDIPASS
820868 01 FL AETNA
FDA 155978 01 FL EMBRACED PROGRAM
1209448 01 FL FIRST HEALTH/MAIL HANDLER
40016 01 FL FLORIDIANCARE
institution
Provider Business Practice Location Address Details
Address
5201 Babcock St Ne
City
State
Zip
32905-4637
Phone Number
321-676-5323
Fax Number
321-951-9253
person
Provider Business Mailing Address Details
Address
5201 Babcock St Ne
City
State
Zip
32905-4637
Phone Number
321-676-5323
Fax Number
321-951-9253
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
OS0004065 (Florida)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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