Individual
ANGEL FAY LONGINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2600 GRANDE ISLE DR APT 13211, ORANGE CITY, FL 32763-7841
(601) 668-4368
Mailing address
2420 WINDSOR LAKE CIR, SANFORD, FL 32773-5749
(601) 668-4368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 11727
MS
Other
Enumeration date
06/25/2015
Last updated
09/12/2023
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