Individual
CRYSTAL LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7108 CAUSEWAY BLVD, TAMPA, FL 33619-6364
(813) 628-4400
Mailing address
7108 CAUSEWAY BLVD, TAMPA, FL 33619-6364
(813) 628-4400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9244956
FL
Other
Enumeration date
07/22/2014
Last updated
08/04/2014
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