CUSTOM LONGEVITY P.A.

NAPLES, FL
NPI1306312731
Entity TypeOrganization
Authorized ContactSVETLANA KOGAN
Owner
917-292-8074
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2018-10-24
Last Update Date2018-10-24
Business Address
CUSTOM LONGEVITY P.A.
4005 GULF SHORE BLVD N APT 402
NAPLES, FL 34103-3433
Phone number: 917-292-8074
Mailing Address
CUSTOM LONGEVITY P.A.
4005 GULF SHORE BLVD N APT 402
NAPLES, FL 34103-3433
Phone number: 917-292-8074