Provider Demographics
NPI:1992998736
Name:LANGLEY, ADAM WAYNE (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:WAYNE
Last Name:LANGLEY
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 1:2940 MAGUIRE RD
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4751
Mailing Address - Country:US
Mailing Address - Phone:407-581-9065
Mailing Address - Fax:321-348-5827
Practice Address - Street 1:2940 MAGUIRE RD
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761
Practice Address - Country:US
Practice Address - Phone:407-581-9065
Practice Address - Fax:321-348-5827
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 105078207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004046500Medicaid
FLO4248OtherMEDICARE HF
FLDK988YMedicare UPIN