Organization
LPMG INC
Active
Other names
Longwood Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY BENNETT A.P (PRESIDENT)
(407) 265-1888
Entity
Organization
Contact information
Practice address
212 W BAY AVE, LONGWOOD, FL 32750-4126
(407) 265-1888
(407) 265-9581
Mailing address
212 W BAY AVE, LONGWOOD, FL 32750-4126
(407) 265-1888
(407) 265-9581
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/12/2008
Last updated
10/22/2014
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