Individual
MRS. CASEY WHITE LANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2222 S HARBOR CITY BLVD, SUITE 610, MELBOURNE, FL 32901-5594
(321) 723-7716
(321) 723-0604
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 723-7716
(321) 723-0604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9107661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010554500
—
FL
01
—
OV542
MEDICARE HF
FL
Enumeration date
01/14/2014
Last updated
09/06/2023
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