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NPI Code Detail

MEDICARE: NICOLE ANNA-MARGIT LANG D.O.

MEDICARE: NICOLE ANNA-MARGIT LANG D.O.
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
1207R00000XInternal Medicine Physician049344CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538332937
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ANNA-MARGIT LANG D.O.
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-532-0002
Fax Number :
Provider Business Practice Location Address
First Line : 3440 W DR MLK BLVD
Second Line : STE. 203
City : TAMPA
State : FL
Zip : 33607-6214
Country : US
Telephone Number : 813-872-7737
Fax Number : 813-443-8120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2008
Last Update Date : 03/03/2026

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Directions to “ NICOLE ANNA-MARGIT LANG D.O.” Practice Location

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