Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirian Langer

Individual provider Gerontology Nurse Practitioner · NPI 1174975908

Mirian Langer is a Nurse Practitioner in Daytona Beach, Florida. Qualified in 2016, 10 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016

Practice location Address checks out

731 N Clyde Morris Blvd
Daytona Beach, FL 32114-1603
Phone: (386) 257-1626
Fax: (866) 486-1253
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 9278406 (FL)

Record details

NPI number1174975908
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2016
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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