Provider Demographics
NPI:1538604004
Name:M LANGWEIL LLC
Entity type:Organization
Organization Name:M LANGWEIL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGWEIL
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:201-615-3836
Mailing Address - Street 1:7661 MACKENZIE CT
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-1230
Mailing Address - Country:US
Mailing Address - Phone:201-615-3836
Mailing Address - Fax:954-227-7442
Practice Address - Street 1:7661 MACKENZIE CT
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-1230
Practice Address - Country:US
Practice Address - Phone:201-615-3836
Practice Address - Fax:954-227-7442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-20
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9375634363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty