Provider Demographics
NPI:1245469626
Name:LANDY, BARBARA XIOMARA (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:XIOMARA
Last Name:LANDY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3920 BEE RIDGE ROAD BUILDING A SUITE C
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1207
Mailing Address - Country:US
Mailing Address - Phone:941-923-3667
Mailing Address - Fax:941-924-3246
Practice Address - Street 1:3920 BEE RIDGE ROAD BUILDING A SUITE C
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1207
Practice Address - Country:US
Practice Address - Phone:941-923-3667
Practice Address - Fax:941-924-3246
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009015020208000000X
FLME112055208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics