=====================================================
General NPI Number Information
=====================================================
NPI Number | 1881988756
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LANGER FAMILY MEDICINE, P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/08/2011
-----------------------------------------------------
Last Update Date | 07/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1806 SHORT BRANCH DR STE 101
-----------------------------------------------------
City | TRINITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34655-4426
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-372-0873
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1806 SHORT BRANCH DR STE 101
-----------------------------------------------------
City | TRINITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34655-4426
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 727-372-0873
-----------------------------------------------------
Fax | 727-376-8973
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. DONNA MALONE
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 727-372-0873
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------