Longwood Medical Group Pa

NPI 1235323023 - Family Medicine - 207Q00000X

NPI Details
NPI 1235323023
Enumeration Date 09/05/2007
Last Updated 03/11/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALISA MARIE ALISA
Position BILLING OFFICE SUPERVISOR
Phone (407) 767-8200
Fax (407) 767-0476
Practice Location
450 W STATE ROAD 434
STE 301
LONGWOOD FL, 32750-5187, US
Phone (407) 767-8200
Fax (407) 767-0476
Business Location
450 W STATE RD 434
STE 301
LONGWOOD FL, 32750, US
Phone (407) 767-8200
Fax (407) 767-0476
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME79324
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According to our database, Longwood Medical Group Pa NPI is 1235323023, taxonomy code is 207Q00000X and license number is ME79324, license state is located at Florida. Longwood Medical Group Pa physically located at 450 W State Road 434, Longwood FL, 32750-5187. NPI Number 1033115704 has the healthcare provider type.

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1235323023 NPI number is provided on an as is basis without warranty of any kind. 1235323023 is maintained by the National Plan & Provider Enumeration System. The contents of Longwood Medical Group Pa are for informational purposes only.