Individual
ERIC LONGFELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(386) 843-3760
Mailing address
103 OLD CARRIAGE RD, PONCE INLET, FL 32127-6909
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME160049
FL
Other
Enumeration date
04/01/2018
Last updated
09/20/2023
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