Organization
DEBORAH LONGWILL DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH MICHELLE LONGWILL D.O. (PRESIDENT)
(305) 279-7546
Entity
Organization
Contact information
Practice address
7700 SW 104TH ST, PINECREST, FL 33156-3149
(305) 279-7546
(305) 279-4180
Mailing address
7700 SW 104TH ST, PINECREST, FL 33156-3149
(305) 279-7546
(305) 279-4180
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS5683
FL
Other
Enumeration date
05/17/2006
Last updated
07/10/2008
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