Individual
MANUEL A LONGO-LLENIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2964 N STATE ROAD 7, SUITE 206, MARGATE, FL 33063
(954) 580-8838
(954) 580-8839
Mailing address
3536 N FEDERAL HWY STE 202, FT LAUDERDALE, FL 33308-6264
(954) 580-8838
(954) 580-8839
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME83303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264383900
—
FL
Enumeration date
04/18/2006
Last updated
05/17/2018
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