Provider Demographics
NPI:1588453211
Name:LANGANEY, ADOLFO L (APRN)
Entity type:Individual
Prefix:
First Name:ADOLFO
Middle Name:L
Last Name:LANGANEY
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4335 WHISPERING INLET DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32277-1134
Mailing Address - Country:US
Mailing Address - Phone:305-993-9488
Mailing Address - Fax:
Practice Address - Street 1:4335 WHISPERING INLET DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32277-1134
Practice Address - Country:US
Practice Address - Phone:305-993-9488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF04250023363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily