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Landon Mediavilla
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida
NPI 1861252843

Landon Mediavilla is a Student in an Organized Health Care Education/Training Program based in Lantana, FL. Landon Mediavilla practices in Fort Lauderdale, FL. The NPI Number for Landon Mediavilla is 1861252843 and holds a License No. (Florida).

The current practice location address for Landon Mediavilla is 6401 N Federal Hwy, Fort Lauderdale, FL and can be reached out via phone at 954-776-2472.

Location: 6401 N Federal Hwy, Fort Lauderdale, FL, 33462-3247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861252843
Provider Name
Landon Mediavilla
Credential
Provider Entity Type
Individual
Gender
Male
Address
6401 N Federal Hwy, Fort Lauderdale, FL, 33462-3247
Phone Number
954-776-2472
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
6401 N Federal Hwy
City
Fort Lauderdale
State
Florida
Zip
33308-1427
Phone Number
954-776-2472
Fax Number
person
Provider Business Mailing Address Details
Address
6401 N Federal Hwy
City
Fort Lauderdale
State
Florida
Zip
33308-1427
Phone Number
954-776-2472
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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