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Individual

ELLIOT N LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14201 S DIXIE HWY, MIAMI, FL 33176-7224
(786) 342-8082
(800) 404-0732
Mailing address
11767 S DIXIE HWY, SUITE 357, MIAMI, FL 33156-4438
(786) 342-8082
(800) 404-0732

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME36255
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003510
PHP
01
12257
WELL CARE
01
13452
ALL FLORIDA
FL
01
1578569810
MD MEDICARE CHOICE
01
160502400
OWCP
01
200010269
MEDICARE RAILROAD
FL
05
250451100
FL
01
273481
ONE HEALTH
01
52550
JMH
01
592417574001
CHAMPUS
FL
01
7574
AV MED
FL
01
9314
VISTA
FL
01
95490
BCBS
FL
Enumeration date
06/22/2005
Last updated
02/06/2015
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