Healthcare Provider Details

I. General information

NPI: 1376480673
Provider Name (Legal Business Name): DAYANA LANGHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13200 TECH CITY CIR STE 400
ALACHUA FL
32615-7770
US

IV. Provider business mailing address

16095 NW 123RD AVE
ALACHUA FL
32615-0227
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-2778
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT.PT.61688802
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT41325
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: