Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | ME51824 | FL |
NPI | 1003862699 |
---|---|
Provider Name | Dr. Steven M Langer |
First Address | Miami, FL 33116-6455 |
Second Address | Port St Lucie, FL 34952-7521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 01/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
375610600 | (05) | FL |
F72725 | (02) | FL |