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Organization
LONGWOOD FAMILY MEDICINE PA
Active
Organization
LONGWOOD FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGIL L DAWSON JR. M.D. (PRESIDENT)
(407) 786-0004
Entity
Organization
Contact information
Practice address
515 W STATE ROAD 434, SUITE 301, LONGWOOD, FL 32750-4981
(407) 786-0004
Mailing address
515 W STATE ROAD 434, SUITE 301, LONGWOOD, FL 32750-4981
(407) 786-0004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
08/26/2011
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