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NPI Code Detail

MEDICARE: MR. VERNON MATTHEW LANGFORD RN, MSN, FNP-C

MEDICARE: MR. VERNON MATTHEW LANGFORD RN, MSN, FNP-C
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
1247200000XOther TechnicianFL
2363L00000XNurse PractitionerCOA.12625-NPOH
3363L00000XNurse PractitionerARNP9322191FL

General Provider Information

NPI Number : 1609153824
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VERNON MATTHEW LANGFORD RN, MSN, FNP-C
Provider Business Mailing Address
First Line : 1411 CROCUS CT
Second Line :
City : LONGWOOD
State : FL
Zip : 32750-4519
Country : US
Telephone Number : 313-522-9468
Fax Number :
Provider Business Practice Location Address
First Line : 5130 SUNFOREST DR STE 200
Second Line :
City : TAMPA
State : FL
Zip : 33634-6322
Country : US
Telephone Number : 657-400-5180
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2011
Last Update Date : 03/20/2023

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Directions to “ MR. VERNON MATTHEW LANGFORD RN, MSN, FNP-C” Practice Location

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