Organization
LONGEVITY CLINICAL LTC ASSOCIATES OF MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BYOWITZ (PROVIDER RELATIONS REPRESENTATIVE)
(561) 850-4129
Entity
Organization
Contact information
Practice address
26505 POWERS AVE, DEARBORN HEIGHTS, MI 48125-1327
(313) 291-6200
Mailing address
11770 US HIGHWAY 1 STE 102E, PALM BEACH GARDENS, FL 33408-3052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
07/09/2021
Last updated
03/03/2026
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