MEDICARE: DR. STEVEN RAY LENGA 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	207R00000X	Internal Medicine Physician	ME84286	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51543	OTHER		BLUE SHIELD 65
2	51543	OTHER		BCBS FL
3	ME84286	OTHER	FL	MEDICAL LICENSE NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669473633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN RAY LENGA MD

Provider Business Mailing Address
First Line	:	8333 N DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-6050
Country	:	US
Telephone Number	:	850-474-8100
Fax Number	:	850-474-8083

Provider Business Practice Location Address
First Line	:	8333 N DAVIS HWY
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32514-6050
Country	:	US
Telephone Number	:	850-474-8385
Fax Number	:	850-969-2917

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

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	04/18/2012

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Directions to “ DR. STEVEN RAY LENGA MD” Practice Location

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