MEDICARE: ELLIOT N LANG MD

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
1	207X00000X	Orthopaedic Surgery Physician	ME36255	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1578569810	OTHER		MD MEDICARE CHOICE
2	200010269	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	13452	OTHER	FL	ALL FLORIDA
4	160502400	OTHER		OWCP
5	52550	OTHER		JMH
6	1003510	OTHER		PHP
7	12257	OTHER		WELL CARE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	592417574001	OTHER	FL	CHAMPUS
10	7574	OTHER	FL	AV MED
11	95490	OTHER	FL	BCBS
12	273481	OTHER		ONE HEALTH
13	9314	OTHER	FL	VISTA

General Provider Information

NPI Number	:	1578569810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELLIOT N LANG MD

Provider Business Mailing Address
First Line	:	11767 S DIXIE HWY
Second Line	:	SUITE 357
City	:	MIAMI
State	:	FL
Zip	:	33156-4438
Country	:	US
Telephone Number	:	786-342-8082
Fax Number	:	800-404-0732

Provider Business Practice Location Address
First Line	:	14201 S DIXIE HWY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-7224
Country	:	US
Telephone Number	:	786-342-8082
Fax Number	:	800-404-0732

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	02/06/2015

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Directions to “ ELLIOT N LANG MD” Practice Location

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