MEDICARE: WILLIAM H LANGHORNE III MD

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	207RC0000X	Cardiovascular Disease Physician	17168	AL
2	207RC0000X	Cardiovascular Disease Physician	ME64024	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	ME64024	OTHER	FL	FLORIDA MEDICAL LICENSE
4	MD.17168	OTHER	AL	ALABAMA MEDICAL LICENSE

General Provider Information

NPI Number	:	1386644813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM H LANGHORNE III MD

Provider Business Mailing Address
First Line	:	125 BAPTIST WAY STE 3A
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2274
Country	:	US
Telephone Number	:	448-227-6604
Fax Number	:	850-857-1747

Provider Business Practice Location Address
First Line	:	125 BAPTIST WAY STE 3A
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2274
Country	:	US
Telephone Number	:	448-227-6604
Fax Number	:	850-857-1747

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

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	03/19/2024

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Directions to “ WILLIAM H LANGHORNE III MD” Practice Location

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