Healthcare Provider Details

I. General information

NPI: 1518904820
Provider Name (Legal Business Name): ARNOLD C LANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 05/30/2023
Certification Date: 05/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 SW 57TH AVE STE 309
SOUTH MIAMI FL
33143-5427
US

IV. Provider business mailing address

7600 SW 57TH AVE STE 309
SOUTH MIAMI FL
33143-5427
US

V. Phone/Fax

Practice location:
  • Phone: 305-661-8288
  • Fax: 305-661-1874
Mailing address:
  • Phone: 305-661-8288
  • Fax: 305-661-8288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberME37241
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: