Provider Demographics
NPI:1851520357
Name:LANSKY, MEYER (MD)
Entity Type:Individual
Prefix:MR
First Name:MEYER
Middle Name:
Last Name:LANSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 S GOLDENROD RD STE 142
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-5629
Mailing Address - Country:US
Mailing Address - Phone:407-931-0444
Mailing Address - Fax:407-674-7887
Practice Address - Street 1:3900 S GOLDENROD RD STE 142
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-5629
Practice Address - Country:US
Practice Address - Phone:407-985-3916
Practice Address - Fax:407-985-3917
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN 597208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLID346ZMedicare PIN