Individual provider · Type 1 NPI

Stanton L. Longenecker, MD

Sports Medicine (Orthopaedic Surgery) Physician · Jacksonville, FL

NPI number 1821092271 Active

Practice location

2 Shircliff Way Ste 300, Credentialing Department
Jacksonville, FL 32204-4753

Call (904) 204-5000 Map

Fax (904) 204-4000

Mailing address

11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000XME49077 (FL)
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114XME49077 (FL)
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005XME49077 (FL)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1821092271

Stanton L. Longenecker, MD's National Provider Identifier is 1821092271, issued on Jun 13, 2005. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 1, 2019.