MEDICARE: MYRIAM LANDRIN M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	59639	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538179338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYRIAM LANDRIN M.D.

Provider Business Mailing Address
First Line	:	9400 NW 12TH AVE
Second Line	:	BAY 6
City	:	MIAMI
State	:	FL
Zip	:	33150-2025
Country	:	US
Telephone Number	:	305-779-0040
Fax Number	:	786-401-1394

Provider Business Practice Location Address
First Line	:	9400 NW 12TH AVE BAY 6
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33150-2025
Country	:	US
Telephone Number	:	305-779-0040
Fax Number	:	786-401-1394

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	12/19/2022

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