Healthcare Provider Details

I. General information

NPI: 1558308809
Provider Name (Legal Business Name): LANDMANN GALLINARO DEIORIO AND NEUSTEIN LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1541 SW 1ST AVE SUITE 105
OCALA FL
34471-6506
US

IV. Provider business mailing address

1541 SW 1ST AVE SUITE 105
OCALA FL
34471-6506
US

V. Phone/Fax

Practice location:
  • Phone: 352-622-8152
  • Fax: 352-622-4408
Mailing address:
  • Phone: 352-622-8152
  • Fax: 352-622-4408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LESLIE HAGAN
Title or Position: FINANCIAL MANAGER
Credential: M.D.
Phone: 352-622-8152