Larry Jackson Landry in Melbourne - Urology
Larry Jackson Landry - NPI 1134194608
Larry Jackson Landry is a Urology in Melbourne, Florida. Larry Jackson Landry practices all healthcare services and medical treatments related to Urology. The NPI Number for Larry Jackson Landry is 1134194608. The last update date is 2016-04-08.
Larry Jackson Landry's current location address is 2200 W Eau Gallie Blvd, Melbourne, Florida. You can contact this provider via phone number 3212531992 and fax number 3212531844. The mailing address for Larry Jackson Landry is 2200 W Eau Gallie Blvd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Jackson Landry |
|---|---|
| Address | 2200 W Eau Gallie Blvd, Melbourne, Florida |
| Phone Number | 3212531992 |
| Fax Number | 3212531844 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134194608 |
|---|---|
| Provider Enumeration Date | 2006-02-20 |
| Last Updated Date | 2016-04-08 |
Provider Mailing Address Detail
| Address | 2200 W Eau Gallie Blvd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329353166 |
| Phone Number | 3212531992 |
| Fax Number | 3212531844 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | ME95172 |
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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 acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 325257 | FL | WELLCARE | |
| 557262 | FL | AETNA | |
| P00334279 | FL | RAILROAD MEDICARE | |
| 274787100 | FL | -- | |
| 2836813001 | FL | CIGNA | |
| 37428 | FL | BLUE CROSS BLUE SHIELD | |
| 1226087 | FL | AETNA |
Post Comment/ Review Below
What is the unique identification code assigned to Larry Jackson Landry by the Centers for Medicare & Medicaid Services?
The Larry Jackson Landry has been issued the NPI (National Provider Identifier) 1134194608. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Larry Jackson Landry?
The Larry Jackson Landry is physically situated at 2200 W Eau Gallie Blvd, in the city of Melbourne, state of FL, with the postal code 329353166.
What is Larry Jackson Landry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry Jackson Landry's specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
On what date did the Larry Jackson Landry receive its 1134194608 assignment from the Centers for Medicare & Medicaid Services?
The Larry Jackson Landry was assigned its 1134194608 by the Centers for Medicare & Medicaid Services on 2006-02-20.
When was the information regarding Larry Jackson Landry most recently updated?
The details pertaining to the Larry Jackson Landry, including its address, specialty, and other relevant information, were last refreshed on 2016-04-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY