Organization
JOHN C. LANGLEY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C LANGLEY M.D. (SOLE SHAREHOLDER)
(305) 294-1024
Entity
Organization
Contact information
Practice address
3412 DUCK AVE, KEY WEST, FL 33040-4427
(305) 294-1024
Mailing address
3412 DUCK AVE., KEY WEST, FL 33040-4427
(305) 294-1024
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME 0048558
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952627739
NPI
FL
01
—
732962
MEDICARE #
FL
Enumeration date
10/20/2016
Last updated
10/20/2016
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