Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LANDIS CROCKETT, M.D., M.P.H.
Active Sole ProprietorPublic Health & General Preventive Medicine · QUINCY, FL
Registration Details
- NPI Number
- 1134374150
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2008 (17.422048363004 yrs)
- Last Updated
- Nov 18, 2008
- License
-
ME37607 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2964 LAKEVIEW POINT RDQUINCY, FL, 323510493Browse FL providers · Browse ZIP 32351
- Phone
- 8506272729
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.