Provider Demographics
NPI:1376532374
Name:LANG, JOSEPH F (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:LANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:983 N COLLIER BLVD
Mailing Address - Street 2:
Mailing Address - City:MARCO ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:34145-2773
Mailing Address - Country:US
Mailing Address - Phone:239-389-5264
Mailing Address - Fax:239-389-5260
Practice Address - Street 1:983 N COLLIER BLVD
Practice Address - Street 2:
Practice Address - City:MARCO ISLAND
Practice Address - State:FL
Practice Address - Zip Code:34145-2773
Practice Address - Country:US
Practice Address - Phone:239-389-5264
Practice Address - Fax:239-389-5260
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME77071207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK3975OtherMEDICARE GRP
FL268544200OtherMEDICAID GRP
FL265398200Medicaid
FL51972OtherBCBS
FL51972OtherBCBS
FLK3975OtherMEDICARE GRP