Healthcare Provider Details

I. General information

NPI: 1134728561
Provider Name (Legal Business Name): INVISION HEALTH FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2020
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 SOUTHERN BLVD
WEST PALM BEACH FL
33406-3242
US

IV. Provider business mailing address

400 INTERNATIONAL DRIVE
WILLIAMSVILLE NY
14221-5771
US

V. Phone/Fax

Practice location:
  • Phone: 561-800-4111
  • Fax: 716-631-9525
Mailing address:
  • Phone: 716-631-3555
  • Fax: 716-631-9525

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL K LANDI
Title or Position: PRESIDENT/COO
Credential: MD
Phone: 716-631-3555