Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME150861 | FL |
NPI | 1023499761 |
---|---|
Provider Name | Germanuel Landfair |
First Address | Brandon, FL 33511-5972 |
Second Address | Winter Haven, FL 33881-4143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2015 |
Last Update Date | 24/09/2021 |