Individual
DUSTIN MATTHEW LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 SHIRCLIFF WAY STE 322, JACKSONVILLE, FL 32204-4780
(904) 880-0911
(904) 880-9388
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME145918
FL
Other
Enumeration date
05/20/2015
Last updated
08/28/2020
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