Provider Demographics
NPI:1326056706
Name:VANLANDINGHAM, HUGH (MD)
Entity type:Individual
Prefix:DR
First Name:HUGH
Middle Name:
Last Name:VANLANDINGHAM
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 SURGEONS DR STE A
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4681
Mailing Address - Country:US
Mailing Address - Phone:850-878-6134
Mailing Address - Fax:850-701-0696
Practice Address - Street 1:1511 SURGEONS DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4632
Practice Address - Country:US
Practice Address - Phone:850-878-6134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81017207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL263730800Medicaid
H31984Medicare UPIN
FL40629Medicare PIN