Individual
DR. JOHN P. LONGMIRE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1309 W FLETCHER AVE, TAMPA, FL 33612-3310
(813) 960-5540
Mailing address
1309 W FLETCHER AVE, TAMPA, FL 33612-3310
(813) 960-5540
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DN11114
FL
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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