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Organization

DIPLOMAT ORTHOPAEDIC GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL ANTHONY LANGONE MD (OWNER)
(954) 920-1230
Entity
Organization

Contact information

Practice address
3990 SHERIDAN ST, SUITE 214, HOLLYWOOD, FL 33021-3661
(954) 920-1230
Mailing address
3990 SHERIDAN ST, SUITE 214, HOLLYWOOD, FL 33021-3661
(954) 920-1230

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0054640
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E55291
UPIN
FL
01
ME0054640
FL MEDICAL LICENSE
FL
Enumeration date
12/16/2008
Last updated
12/16/2008
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