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Organization
THE LONGEVITY SOCIETY, LLC
Active
Organization
THE LONGEVITY SOCIETY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY N FONG-EDWARDS APRN (CEO)
(786) 443-2629
Entity
Organization
Contact information
Practice address
150 NW 70TH AVE STE 7, PLANTATION, FL 33317-2911
(954) 494-8799
Mailing address
2633 OAK PARK CIR, DAVIE, FL 33328-6724
(786) 443-2629
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/18/2026
Last updated
09/18/2026
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