Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Landon Mediavilla

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861252843

Landon Mediavilla is a Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6401 N Federal Hwy
Fort Lauderdale, FL 33308-1427
Phone: (954) 776-2472
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1861252843
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

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