| Larry Jackson Landry, MD | |
|
2200 W Eau Gallie Blvd, Suite 202a, Melbourne, FL 32935-3166 | |
| (321) 253-1992 | |
| (321) 253-1844 |
| Full Name | Larry Jackson Landry |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2200 W Eau Gallie Blvd, Melbourne, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134194608 | NPI | - | NPPES |
| 325257 | Other | FL | WELLCARE |
| 557262 | Other | FL | AETNA |
| P00334279 | Other | FL | RAILROAD MEDICARE |
| 274787100 | Medicaid | FL | |
| 2836813001 | Other | FL | CIGNA |
| 37428 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1226087 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME95172 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry Jackson Landry, MD 240 N Wickham Rd, Ste 104, Melbourne, FL 32935-8663 Ph: (321) 253-1992 | Larry Jackson Landry, MD 2200 W Eau Gallie Blvd, Suite 202a, Melbourne, FL 32935-3166 Ph: (321) 253-1992 |
Dr. Robert C Allen Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Thomas D Fields, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1223 Gateway Drive, Melbourne, FL 32901 Phone: 321-725-4500 Fax: 321-768-0039 | |
Dr. Steven O Bossinger, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-1771 Fax: 321-434-1775 | |
Emily Fell Kelly, MD Urology Medicare: Medicare Enrolled Practice Location: 1223 Gateway Dr Ste 2a, Melbourne, FL 32901 Phone: 321-361-5567 Fax: 321-951-3124 | |
Dr. Douglas P Sorensen, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 200 Michigan Ave, Melbourne, FL 32901 Phone: 321-724-4400 Fax: 321-724-1139 | |
Henry N Nelson, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1130 Hickory St, Melbourne, FL 32901 Phone: 321-725-4500 Fax: 321-951-3124 |