Provider Demographics
NPI:1952627739
Name:LANGLEY, JOHN CRAIG (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:CRAIG
Last Name:LANGLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1107 KEY PLZ
Mailing Address - Street 2:211
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4077
Mailing Address - Country:US
Mailing Address - Phone:305-295-8181
Mailing Address - Fax:305-296-8320
Practice Address - Street 1:1107 KEY PLZ
Practice Address - Street 2:211
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4077
Practice Address - Country:US
Practice Address - Phone:305-295-8181
Practice Address - Fax:305-296-8320
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL0048558208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice