Individual
BRIAN JOSEPH LONGORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNAP, CRNA, APRN
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 437-8275
Mailing address
14 RIDGEBRIAR LN, NEWNAN, GA 30265-6214
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11007019
FL
Other
Enumeration date
05/08/2020
Last updated
07/09/2020
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