Individual
TERESA LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 WESTHALL LN STE 4, MAITLAND, FL 32751-7102
(407) 200-2355
(407) 200-4947
Mailing address
2600 WESTHALL LN STE 4, MAITLAND, FL 32751-7102
(407) 200-2355
(407) 200-4947
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0100533
MD
2085R0202X
Diagnostic Radiology Physician
Primary
ME173706
FL
Other
Enumeration date
03/30/2019
Last updated
07/28/2025
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