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Individual

DR. JUAN A LONGHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 846-2266
(855) 527-5510
Mailing address
1500 CONCORD TER, SUNRISE, FL 33323-2815
(800) 243-3839
(855) 527-5510

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME111810
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006514500
FL
Enumeration date
05/16/2006
Last updated
07/07/2014
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