Organization
LONGEVITY CLINICAL LTC ASSOCIATES OF MICHIGAN PLLC
Active
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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