Organization
SOUTH DADE ORTHOPEDIC- HOMESTEAD
Active
Organization
SOUTH DADE ORTHOPEDIC- HOMESTEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT LANG (PHYSICIAN)
(305) 245-6866
Entity
Organization
Contact information
Practice address
957 N KROME AVE, HOMESTEAD, FL 33030-4408
(305) 245-6866
Mailing address
3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
BL8501808
FL
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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