Eric L. Lang Do Lc | |
1301 W Eau Gallie Blvd Suite 112 Melbourne FL 32935-5390 | |
(321) 255-5915 | |
(321) 255-6784 |
Full Name | Eric L. Lang Do Lc |
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Speciality | Family Medicine |
Location | 1301 W Eau Gallie Blvd, Melbourne, Florida |
Authorized Official Name and Position | Eric L. Lang (DO/OWNER) |
Authorized Official Contact | 3212552915 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eric L. Lang Do Lc 1301 W Eau Gallie Blvd Suite 112 Melbourne FL 32935-5390 Ph: (321) 255-5915 | Eric L. Lang Do Lc 1301 W Eau Gallie Blvd Suite 112 Melbourne FL 32935-5390 Ph: (321) 255-5915 |
NPI Number | 1417042490 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 02/24/2015 |
Medicare PECOS PAC ID | 7719081058 |
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Medicare Enrollment ID | O20070327000375 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417042490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS8946 (Florida) | Primary |
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