Longwood Family Medicine Pa in Longwood - Family Medicine
Longwood Family Medicine Pa - NPI 1073529442
Longwood Family Medicine Pa is a Family Medicine in Longwood, Florida. Longwood Family Medicine Pa practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Longwood Family Medicine Pa is 1073529442. The last update date is 2011-08-26.
Longwood Family Medicine Pa's current location address is 515 W State Road 434, Longwood, Florida. You can contact this provider via phone number 4077860004. The mailing address for Longwood Family Medicine Pa is 515 W State Road 434, Longwood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Longwood Family Medicine Pa |
|---|---|
| Address | 515 W State Road 434, Longwood, Florida |
| Phone Number | 4077860004 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dawson L Virgil |
| Credentials | M.D. |
| Telephone Number | 4077860004 |
NPI Number Detail
| NPI Number | 1073529442 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2011-08-26 |
Provider Mailing Address Detail
| Address | 515 W State Road 434 |
|---|---|
| City | Longwood |
| State | Florida (FL) |
| Post Code | 327504981 |
| Phone Number | 4077860004 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Longwood Family Medicine Pa by the Centers for Medicare & Medicaid Services?
The Longwood Family Medicine Pa has been issued the NPI (National Provider Identifier) 1073529442, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Longwood Family Medicine Pa's physical address?
The Longwood Family Medicine Pa is physically located at 515 W State Road 434, in the city of Longwood, FL, with the postal code 327504981.
What is Longwood Family Medicine Pa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Longwood Family Medicine Pa's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Longwood Family Medicine Pa receive the assignment of its 1073529442 from the Centers for Medicare & Medicaid Services?
The Longwood Family Medicine Pa was issued its 1073529442 by the Centers for Medicare & Medicaid Services on 2006-07-31.
As of what date were the details pertaining to Longwood Family Medicine Pa last refreshed?
The information related to the Longwood Family Medicine Pa, including its address, specialty, and other relevant details, was last updated on 2011-08-26.
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