Organization
LONGEVITY PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARY COLE DNP, APRN, FNP-C (OWNER/NURSE PRACTITIONER)
(850) 530-3042
Entity
Organization
Contact information
Practice address
5845 CINDY LN, MILTON, FL 32570-7725
(850) 530-3042
Mailing address
5845 CINDY LN, MILTON, FL 32570-7725
(850) 530-3042
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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