Individual
DR. FALLON LONGMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 22ND AVE S, ST PETERSBURG, FL 33705-2933
(727) 310-0925
(727) 498-5470
Mailing address
901 22ND AVE S, ST PETERSBURG, FL 33705-2933
(727) 310-0925
(727) 498-5470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME160275
FL
Other
Enumeration date
04/14/2019
Last updated
06/20/2023
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