Provider Demographics
NPI:1376961946
Name:LANGERMAN, JARED R (MD)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:R
Last Name:LANGERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15280 NW 79TH CT STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5873
Mailing Address - Country:US
Mailing Address - Phone:305-558-3724
Mailing Address - Fax:786-907-4485
Practice Address - Street 1:550 HERITAGE DR STE 201
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3029
Practice Address - Country:US
Practice Address - Phone:561-624-5311
Practice Address - Fax:561-625-4624
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT63503207Y00000X
FLME147557207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology