Healthcare Provider Details

I. General information

NPI: 1154850683
Provider Name (Legal Business Name): LARONDA LYNN LANG ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 S OSPREY AVE STE 101
SARASOTA FL
34239-2905
US

IV. Provider business mailing address

PO BOX 25487
SARASOTA FL
34277-2487
US

V. Phone/Fax

Practice location:
  • Phone: 941-316-1550
  • Fax: 941-316-1552
Mailing address:
  • Phone: 941-216-0072
  • Fax: 877-807-0253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2960892
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: