| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 02/24/2015 |
| Medicare PECOS PAC ID | 7719081058 |
|---|---|
| Medicare Enrollment ID | O20070327000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417042490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS8946 (Florida) | Primary |
| Provider Name | Eric L Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801874466 PECOS PAC ID: 7517918626 Enrollment ID: I20070227000535 |
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