Organization Active NPI

Jennifer Landa, LLC of Florida

  • Specialist
  • Maitland, FL
National Provider Identifier
1376785980
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME97938 Issued in FL
Legal business name
JENNIFER LANDA, LLC OF FLORIDA
Doing business as
BodyLogicMD of Orlando
Practice address
175 Lookout PL
Suite 201
Maitland, FL 32751-8434
Phone
(888) 799-5821
Fax
(866) 402-5245
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Jennifer Landa, M.D.NPI 1447237805
Title
Director
Phone
(888) 799-5821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME97938 FL Primary

Addresses

Primary practice location

175 Lookout PL
Suite 201
Maitland, FL 32751-8434

Mailing address

3039 Cecelia Dr
Apopka, FL 32703-7813
Phone (888) 799-5821

Other names 1

  • BodyLogicMD of Orlando Doing business as

National Provider Directory

National Provider Directory

Locations

175 Lookout Pl
Ste 201
Maitland, FL 32751
Phone (888) 788-5821

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1376785980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 CECELIA DR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327037813",
            "telephone_number": "888-799-5821",
            "fax_number": "866-402-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 LOOKOUT PL",
            "address_2": "SUITE 201",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518434",
            "telephone_number": "888-799-5821",
            "fax_number": "866-402-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER LANDA, LLC OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "LANDA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "888-799-5821",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME97938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BodyLogicMD of Orlando",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.