MEDICARE: ADOLFO L LANGANEY APRN

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	363LF0000X	Family Nurse Practitioner	11039899	FL

General Provider Information

NPI Number	:	1588453211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADOLFO L LANGANEY APRN

Provider Business Mailing Address
First Line	:	4335 WHISPERING INLET DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-1134
Country	:	US
Telephone Number	:	305-993-9488
Fax Number	:

Provider Business Practice Location Address
First Line	:	4335 WHISPERING INLET DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32277-1134
Country	:	US
Telephone Number	:	305-993-9488
Fax Number	:

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

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	06/25/2025

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Directions to “ ADOLFO L LANGANEY APRN” Practice Location

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