Healthcare Provider Details

I. General information

NPI: 1124935010
Provider Name (Legal Business Name): NICOLE LANDY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20961 PINAR TRL
BOCA RATON FL
33433-1619
US

IV. Provider business mailing address

20961 PINAR TRL
BOCA RATON FL
33433-1619
US

V. Phone/Fax

Practice location:
  • Phone: 561-900-4009
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: