Individual
AUSTIN K LANGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
7331 COLLEGE PKWY STE 300, FORT MYERS, FL 33907-5524
(239) 337-2003
(239) 337-3168
Mailing address
7331 COLLEGE PKWY STE 300, FORT MYERS, FL 33907-5524
(239) 337-2003
(239) 337-3168
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PAT9114883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PAT9114883
MEDICAL LICENSE
FL
Enumeration date
09/17/2021
Last updated
09/17/2021
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