Individual
DIANA NONE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11352 W STATE ROAD 84 # 227, DAVIE, FL 33325-4007
(754) 208-8730
Mailing address
11352 W STATE ROAD 84 # 227, DAVIE, FL 33325-4007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9620268
FL
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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