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NPI Code Detail

MEDICARE: JOHN J LAYDEN M.D.

MEDICARE:   JOHN J LAYDEN  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
1207RC0000XCardiovascular Disease PhysicianME122637FL
2207RC0000XCardiovascular Disease Physician169437NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P01000250OTHERNYRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PENDINGOTHERFLHFMG
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538162235
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN J LAYDEN M.D.
Provider Business Mailing Address
First Line : 3300 S FISKE BLVD
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-4306
Country : US
Telephone Number : 321-434-8531
Fax Number :
Provider Business Practice Location Address
First Line : 1421 MALABAR RD NE STE 201
Second Line :
City : PALM BAY
State : FL
Zip : 32907-2559
Country : US
Telephone Number : 321-434-8531
Fax Number : 321-434-8533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 01/15/2026

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