Provider Demographics
NPI:1215942610
Name:LANGSCHWAGER, HANS ALBRECHT (MD)
Entity type:Individual
Prefix:
First Name:HANS
Middle Name:ALBRECHT
Last Name:LANGSCHWAGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2595 TAMPA RD
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3152
Mailing Address - Country:US
Mailing Address - Phone:727-785-7402
Mailing Address - Fax:727-784-7301
Practice Address - Street 1:2595 TAMPA RD
Practice Address - Street 2:SUITE 1C
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3152
Practice Address - Country:US
Practice Address - Phone:727-785-7402
Practice Address - Fax:727-784-7301
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85782207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL71620OtherBCBSFL
FL120370OtherHUMANA
FL7441517OtherAETNA
FLP00171616OtherMEDICARE RAILROAD
FL71620OtherBCBSFL
FLU0855YMedicare ID - Type Unspecified