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NPI Code Detail

MEDICARE: MATTHEW FRANZ LANGKAMER BSPHARM

MEDICARE: MATTHEW FRANZ LANGKAMER BSPHARM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH49067CA
2183500000XPharmacistPS 53989FL
3183500000XPharmacistRP038578TPA

General Provider Information

NPI Number : 1215220959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW FRANZ LANGKAMER BSPHARM
Provider Business Mailing Address
First Line : PO BOX 1104
Second Line :
City : VALRICO
State : FL
Zip : 33595-1104
Country : US
Telephone Number : 831-588-9201
Fax Number :
Provider Business Practice Location Address
First Line : 3300 PUBLIX CORPORATE PKWY
Second Line :
City : LAKELAND
State : FL
Zip : 33811-3311
Country : US
Telephone Number : 831-588-9201
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2011
Last Update Date : 03/03/2016

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