Individual Provider
Specialty details in registry · Longwood, FL
At a glance
650 Palermo Vista Ct, Longwood, FL 32750-3419
NPPES record updated Sep 10, 2015. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
650 Palermo Vista CtLongwood, FL 32750-3419
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251S00000X
- Enumeration date
- Sep 10, 2015
- Record updated
- Sep 10, 2015
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251S00000X · Primary
License reported: ISW10093 FL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
650 Palermo Vista CtLongwood, FL 32750-3419
- Phone
- (317) 697-8932
Mailing address
650 PALERMO VISTA CTLONGWOOD, FL 327503419
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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