MEDICARE: REMO MEDICAL GROUP 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	2084P0805X	Geriatric Psychiatry Physician

General Provider Information

NPI Number	:	1932953775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMO MEDICAL GROUP PA

Provider Business Mailing Address
First Line	:	1908 THOMES AVE STE 12123
Second Line	:
City	:	CHEYENNE
State	:	WY
Zip	:	82001-3527
Country	:	US
Telephone Number	:	415-234-0897
Fax Number	:

Provider Business Practice Location Address
First Line	:	1025 E HALLANDALE BEACH BLVD STE 15927
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4478
Country	:	US
Telephone Number	:	415-234-0897
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARK SCHLANGEL
Credential	:
Telephone Number	:	415-234-0897

Provider Enumeration Date	:	04/17/2024
Last Update Date	:	12/01/2025

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