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NPI Code Detail

MEDICARE: KRISTIN ODOM LANGSTON APRN

MEDICARE:   KRISTIN ODOM LANGSTON  APRN
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
1208000000XPediatrics PhysicianAPRN11020645FL

General Provider Information

NPI Number : 1982314753
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN ODOM LANGSTON APRN
Provider Business Mailing Address
First Line : 1024 HENSON CT
Second Line :
City : OVIEDO
State : FL
Zip : 32765-6046
Country : US
Telephone Number : 321-340-5919
Fax Number :
Provider Business Practice Location Address
First Line : 3607 ALOMA AVE STE 1091
Second Line :
City : OVIEDO
State : FL
Zip : 32765-8856
Country : US
Telephone Number : 321-340-5919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2022
Last Update Date : 07/07/2023

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Directions to “ KRISTIN ODOM LANGSTON APRN” Practice Location

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