LARRY JACKSON LANDRY

MELBOURNE, FL
NPI1134194608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: FL  ME95172)
Enumeration Date2006-02-20
Last Update Date2016-04-08
Business Address
-- LARRY JACKSON LANDRY MD
2200 W EAU GALLIE BLVD SUITE 202A
MELBOURNE, FL 32935-3166
Phone number: 321-253-1992
Mailing Address
-- LARRY JACKSON LANDRY MD
240 N WICKHAM RD STE 104
MELBOURNE, FL 32935-8663
Phone number: 321-253-1992