Provider Demographics
NPI:1659320364
Name:LANGER, ROSE M (MD)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:M
Last Name:LANGER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1806 SHORT BRANCH DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4426
Mailing Address - Country:US
Mailing Address - Phone:727-372-0873
Mailing Address - Fax:727-376-8973
Practice Address - Street 1:1806 SHORT BRANCH DR
Practice Address - Street 2:SUITE 101
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-4426
Practice Address - Country:US
Practice Address - Phone:727-372-0873
Practice Address - Fax:727-376-8973
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2014-06-10
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Provider Licenses
StateLicense IDTaxonomies
FLME107527207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H51489Medicare UPIN