| Dr. Stephen Ellis Landay | |
|
7109 Nw 11th Pl Ste E Gainesville FL 32605-3141 | |
| (352) 331-6830 | |
| (352) 331-2573 |
| Full Name | Dr. Stephen Ellis Landay |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7109 Nw 11th Pl Ste E, Gainesville, Florida |
| Authorized Official Name and Position | Stephen E Landay (DR.) |
| Authorized Official Contact | 3253316830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Stephen Ellis Landay 7109 Nw 11th Pl Ste E Gainesville FL 32605-3141 Ph: (352) 331-6830 | Dr. Stephen Ellis Landay 7109 Nw 11th Pl Ste E Gainesville FL 32605-3141 Ph: (352) 331-6830 |
| NPI Number | 1588054415 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 01/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588054415 | NPI | - | NPPES |
| 1255396107 | Other | FL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME22129 (Florida) | Primary |
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Oswaldo Javier Rodriguez Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1121 Sw 104th St, Gainesville, FL 32607 Phone: 352-514-6065 Fax: 352-554-5073 | |
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