MILES M. LANDIS, M.D. P.A. (NPI# 1215218441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215218441 |
| Entity Type | Organization |
| Organization Name | MILES M. LANDIS, M.D. P.A. |
| Other Organization Name | LAKE MARY PEDIATRICS |
| Practice Address |
410 Waymont Ct Lake Mary FL 32746-3485 |
| Practice Telephone | 4073233550 |
| Practice Fax Number | 4073226127 |
| Mailing Telephone | 4073233550 |
| Mailing Fax Number | 4073226127 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |
| Authorized Official Name | MRS. HELENE ROBBINS (OFFICE MANAGER) |
| Authorized Official Telephone | 4073234515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lake Mary Pediatrics | Doing Business As Name - Organization |
| Street Address |
410 WAYMONT CT |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104821081 | Miles M Landis | Specialist | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2005-06-16 |
| 1568825768 | Alexa Rae Heller | Pediatrics | 410 Waymont Ct, Lake Mary, FL 32746 | 2016-04-04 |
| 1710347620 | Nicholas Edward Constantino | Physician Assistant | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2016-03-04 |
| 1932579224 | Allison Maccollom West | Nurse Practitioner | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2015-09-30 |
| 1992142426 | Analise Paige Casey | Pediatrics | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2013-05-23 |
| 1184941155 | Sarah C Li | Pediatrics | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2010-04-29 |
| 1801064605 | Cynthia Walker | Nurse Practitioner | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2008-02-14 |
| 1114195013 | Dawn Ellis | Physician Assistant | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2008-02-13 |
| 1902886773 | Thomas J. Alber | Pediatrics | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2006-01-18 |
| 1164427043 | Mark D Roque | Specialist | 410 Waymont Ct, Lake Mary, FL 32746-3485 | 2005-06-16 |
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|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
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| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
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| 1154712198 | Pediatric &adolescent Medicine | Pediatrics | 7150 W 20th Ave Ste 612, Hialeah, FL 33016-5534 | 2015-02-12 |
| 1689064750 | Hilda Tejero | Pediatrics | 9495 Sunset Dr Ste B190, Miami, FL 33173-5419 | 2015-01-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.