MEDICARE: MRS. WENDY HOON LANGEN PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9101521	FL

General Provider Information

NPI Number	:	1326269853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. WENDY HOON LANGEN PA

Provider Business Mailing Address
First Line	:	1920 SW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2613
Country	:	US
Telephone Number	:	305-586-4356
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 SW 12TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2613
Country	:	US
Telephone Number	:	305-586-4356
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	12/15/2016

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