Individual
MARISSA AMBER LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1549 GALE LEMERAND DR, GAINESVILLE, FL 32610-3008
(352) 265-8200
Mailing address
PO BOX 100294, GAINESVILLE, FL 32610-0294
(352) 273-7584
(352) 392-3498
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN11034423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124417000
—
FL
Enumeration date
09/25/2024
Last updated
11/15/2024
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