Individual
ERIN LANGE-VANDELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC MS
Contact information
Practice address
15285 AMBERLY DR, TAMPA, FL 33647
(813) 979-6978
(813) 975-0534
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 528-4975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102580
FL
Other
Enumeration date
07/14/2006
Last updated
08/04/2014
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