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Individual

DR. MICHAEL AGOSTINO LONGYEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., CCSP, DACNB

Contact information

Practice address
8750 PERIMETER PARK BLVD STE 102, JACKSONVILLE, FL 32216-2287
(904) 900-1477
Mailing address
8750 PERIMETER PARK BLVD, SUITE 102, JACKSONVILLE, FL 32216-2943
(904) 900-1477

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH12881
FL

Other

Enumeration date
08/06/2013
Last updated
06/13/2024
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