| NPI | 1164161840 |
|---|---|
| Doing Business As | LONGWOOD MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ANDY JORDAN Credentialing Specialist 321-206-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-08-16 |