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Dr. Dale Thomas Landry JR., MD
Orthopedic Surgery Physician in Fort Walton Beach, Florida
NPI 1518108588

Dale Thomas Landry JR. is a Orthopedic Surgery Physician based in Fort Walton Beach, FL. Dale Thomas Landry JR. practices in Fort Walton Beach, FL and has the professional credentials of MD. The NPI Number for Dale Thomas Landry JR. is 1518108588 and holds a License No. ME 123092 (Florida).

The current practice location address for Dale Thomas Landry JR. is 1034 Mar Walt Dr, Fort Walton Beach, FL and can be reached out via phone at 850-863-2153 and via fax at 850-315-9350.

Location: 1034 Mar Walt Dr, Fort Walton Beach, FL, 32547-6639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518108588
Provider Name
Dale Thomas Landry JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1034 Mar Walt Dr, Fort Walton Beach, FL, 32547-6639
Phone Number
850-863-2153
Fax Number
850-315-9350
Provider Enumeration Date
03/20/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
151CH 01 FL BCBS FL
APPLYING ATN 598515 01 FL FL MEDICAID
Z170402 01 MEDICARE PTAN
ME123092 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1034 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6639
Phone Number
850-863-2153
Fax Number
850-315-9350
person
Provider Business Mailing Address Details
Address
1034 Mar Walt Dr
City
Fort Walton Beach
State
Florida
Zip
32547-6639
Phone Number
850-863-2153
Fax Number
850-315-9350
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
ME123092 (Florida)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
ME 123092 (Florida)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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