NPIMap

Organization Active NPI

Miles M. Landis, M.D. P.a.

Doing business as Lake Mary Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1215218441
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
MILES M. LANDIS, M.D. P.A.
Doing business as
Lake Mary Pediatrics
Practice address
410 Waymont CT
Lake Mary, FL 32746-3485
Phone
(407) 323-3550
Fax
(407) 322-6127
NPI assigned
Sep 1, 2011
Last updated
Sep 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Helene Robbins
Title
Office Manager
Phone
(407) 323-4515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

410 Waymont CT
Lake Mary, FL 32746-3485

Mailing address

410 Waymont CT
Lake Mary, FL 32746-3485
Phone (407) 323-3550

Other names 1

  • Lake Mary Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

2400 N Orange Blossom Trl
Ste 306
Kissimmee, FL 34744
Phone (407) 657-9188

410 Waymont Ct
Lake Mary, FL 32746
Phone (407) 323-3550

15502 Stoneybrook West Pkwy
Ste 114
Winter Garden, FL 34787
Phone (407) 821-3680

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1215218441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463485",
            "telephone_number": "407-323-3550",
            "fax_number": "407-322-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 WAYMONT CT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463485",
            "telephone_number": "407-323-3550",
            "fax_number": "407-322-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES M. LANDIS, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "HELENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-323-4515",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Mary Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.