| Carrie Landess M.d., P.a. | |
|
16855 Ne 2nd Ave Suite 102 North Miami Beach FL 33162-1744 | |
| (954) 416-1781 | |
| (954) 416-1782 |
| Full Name | Carrie Landess M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 16855 Ne 2nd Ave, North Miami Beach, Florida |
| Authorized Official Name and Position | Carrie Landess (OWNER) |
| Authorized Official Contact | 9545793916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Landess M.d., P.a. 16855 Ne 2nd Ave Suite 102 North Miami Beach FL 33162-1744 Ph: (954) 416-1781 | Carrie Landess M.d., P.a. 16855 Ne 2nd Ave Suite 102 North Miami Beach FL 33162-1744 Ph: (954) 416-1781 |
| NPI Number | 1124462106 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 08/14/2014 |
| Medicare PECOS PAC ID | 4587805767 |
|---|---|
| Medicare Enrollment ID | O20130731000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124462106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME66199 (Florida) | Primary |
| Provider Name | Carrie Landess |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154396281 PECOS PAC ID: 5991693731 Enrollment ID: I20040304001048 |
| Provider Name | Alex Sabo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760875645 PECOS PAC ID: 0244506947 Enrollment ID: I20171025000929 |
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