Healthcare Provider Details

I. General information

NPI: 1831640929
Provider Name (Legal Business Name): PHALLY LANG
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2016
Last Update Date: 10/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 EDGEWOOD AVE S
JACKSONVILLE FL
32205-5333
US

IV. Provider business mailing address

542 EDGEWOOD AVE S
JACKSONVILLE FL
32205-5333
US

V. Phone/Fax

Practice location:
  • Phone: 978-495-1461
  • Fax:
Mailing address:
  • Phone: 978-495-1461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: