Healthcare Provider Details

I. General information

NPI: 1376532374
Provider Name (Legal Business Name): JOSEPH F LANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

983 N COLLIER BLVD
MARCO ISLAND FL
34145-2773
US

IV. Provider business mailing address

983 N COLLIER BLVD
MARCO ISLAND FL
34145-2773
US

V. Phone/Fax

Practice location:
  • Phone: 239-389-5264
  • Fax: 239-389-5260
Mailing address:
  • Phone: 239-389-5264
  • Fax: 239-389-5260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME77071
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number346958
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: