Individual provider Active NPI

Raymond Gregory Lande, DO

  • Forensic Psychiatry Physician
  • Winter Garden, FL
National Provider Identifier
1932207024
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
0564 Issued in SC
Practice address
14480 Sunbridge Cir
Winter Garden, FL 34787
Phone
(240) 277-8330
NPI assigned
Sep 20, 2006
Last updated
May 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0564SCMDForensic Psychiatry Physician
OS15297FLMDPsychiatry 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

Verify at the official NPI Registry.