Provider Demographics
NPI:1033375936
Name:JENNIFER S LANDY MD PL
Entity Type:Organization
Organization Name:JENNIFER S LANDY MD PL
Other - Org Name:THE LANDY CENTER FOR PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SARA
Authorized Official - Last Name:LANDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-870-3702
Mailing Address - Street 1:2835 W DELEON ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609
Mailing Address - Country:US
Mailing Address - Phone:813-870-3702
Mailing Address - Fax:813-870-3595
Practice Address - Street 1:2835 W DELEON ST
Practice Address - Street 2:SUITE 206
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609
Practice Address - Country:US
Practice Address - Phone:813-870-3702
Practice Address - Fax:813-870-3595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty