Individual
JENNIFER ANN LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-8480
Mailing address
11850 DR MARTIN LUTHER KING ST N, #9114, SAINT PETERSBURG, FL 33716-1619
(612) 810-6662
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME113332
FL
Other
Enumeration date
10/01/2007
Last updated
08/07/2012
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