Individual
MR. PHILLIP NEIL LANGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
7296 SHADY GROVE RD, GRAND RIDGE, FL 32442-3744
(239) 273-3638
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAT9109345
FL
Other
Enumeration date
02/26/2016
Last updated
02/26/2016
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