Organization
LONGWOOD MEDICAL GROUP PA
Active
Organization
LONGWOOD MEDICAL GROUP PA
Active
Other names
Longwood Cardiology PA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISA MARIE CHARACTER (BILLING OFFICE SUPERVISOR)
(407) 767-8200
Entity
Organization
Contact information
Practice address
450 W STATE ROAD 434, STE 301, LONGWOOD, FL 32750-5187
(407) 767-8200
(407) 767-0476
Mailing address
450 W STATE RD 434, STE 301, LONGWOOD, FL 32750
(407) 767-8200
(407) 767-0476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME79324
FL
207RC0000X
Cardiovascular Disease Physician
Primary
ME78066
FL
Other
Enumeration date
09/05/2007
Last updated
05/01/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up