Active NPI
Raymond Gregory Lande, DO
- Forensic Psychiatry Physician
- Winter Garden, FL
National Provider Identifier
1932207024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 0564
- Practice address
- 14480 Sunbridge Cir
Winter Garden, FL 34787 - Phone
- (240) 277-8330
- NPI assigned
- Sep 20, 2006
- Last updated
- May 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 0564 | SC | Primary |
| Psychiatry Physician | 2084P0800X | OS15297 | FL | |
| Psychiatry Physician | 2084P0800X | 564 | SC |
Addresses
Primary practice location
14480 Sunbridge Cir
Winter Garden, FL 34787
Mailing address
14480 Sunbridge Cir
Winter Garden, FL 34787-4532
Phone (240) 277-8330
Other practice location 1
13826 Bison Ct
Silver Spring, MD 20906-2000
Phone (202) 782-1553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0564 | SC | MD | Forensic Psychiatry Physician |
| OS15297 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1932207024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14480 SUNBRIDGE CIR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874532",
"telephone_number": "240-277-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14480 SUNBRIDGE CIR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "34787",
"telephone_number": "240-277-8330"
}
],
"practiceLocations": [
{
"address_1": "13826 Bison Ct",
"address_purpose": "LOCATION",
"city": "Silver Spring",
"state": "MD",
"postal_code": "209062000",
"country_code": "US",
"telephone_number": "202-782-1553",
"fax_number": "202-782-3209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDE",
"first_name": "RAYMOND",
"middle_name": "GREGORY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "SC",
"license": "0564",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS15297",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "564",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Garden, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.