MEDICARE: INVISION HEALTH FLORIDA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	208VP0014X	Interventional Pain Medicine Physician
4	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1134728561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INVISION HEALTH FLORIDA, LLC

Provider Business Mailing Address
First Line	:	400 INTERNATIONAL DRIVE
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-5771
Country	:	US
Telephone Number	:	716-631-3555
Fax Number	:	716-631-9525

Provider Business Practice Location Address
First Line	:	1620 SOUTHERN BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-3242
Country	:	US
Telephone Number	:	561-800-4111
Fax Number	:	716-631-9525

Authorized Official
Title or Position	:	PRESIDENT/COO
Name	:	MR. MICHAEL K LANDI
Credential	:	MD
Telephone Number	:	716-631-3555

Provider Enumeration Date	:	10/17/2020
Last Update Date	:	02/02/2023

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