Organization · Type 2 NPI
Longevity Clinical LTC Associates of Florida PLLC
Primary Care Nurse Practitioner · Lauderhill, FL
NPI number
1639743750
Active
Practice location
4300 Rock Island Rd
Lauderhill, FL 33319-4528
Mailing address
11770 US 1
Palm Beach Gardens, FL 33408-3027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | None listed |
| Gerontology Nurse Practitioner | 363LG0600X | None listed |
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1639743750
Longevity Clinical LTC Associates of Florida PLLC's National Provider Identifier is 1639743750, issued on May 13, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lauderhill, FL. The record was last updated on May 14, 2021.