| Lansky Medical Llc | |
|
3900 S Goldenrod Rd Ste 142 Orlando FL 32822-5629 | |
| (407) 985-3916 | |
| (407) 985-3917 |
| Full Name | Lansky Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 3900 S Goldenrod Rd Ste 142, Orlando, Florida |
| Authorized Official Name and Position | Meyer Lansky (OWNER) |
| Authorized Official Contact | 4079853916 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansky Medical Llc 3900 S Goldenrod Rd Ste 142 Orlando FL 32822-5629 Ph: (407) 985-3916 | Lansky Medical Llc 3900 S Goldenrod Rd Ste 142 Orlando FL 32822-5629 Ph: (407) 985-3916 |
| NPI Number | 1013379015 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 03/28/2016 |
| Medicare PECOS PAC ID | 3476848938 |
|---|---|
| Medicare Enrollment ID | O20160823000829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013379015 | NPI | - | NPPES |
| 013637800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN597 (Florida) | Primary |
| Provider Name | Meyer Lansky |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851520357 PECOS PAC ID: 2264752112 Enrollment ID: I20150518001412 |
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