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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LONGWOOD MEDICAL GROUP PA

Deactivated Organization

LONGWOOD MEDICAL GROUP PA is a Cardiovascular Disease organization located in LONGWOOD, Florida. NPI 1235323023 is deactivated in the NPPES registry. Verify at CMS.

Cardiovascular Disease · LONGWOOD, FL

This NPI has been deactivated. The record was deactivated on April 15, 2018. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1235323023
Provider Type
Organization
NPI Issued
Sep 5, 2007 (10.608219178082 yrs)
Last Updated
May 1, 2018
Deactivated
Apr 15, 2018
Licenses
ME79324 (FL)
ME78066 (FL)

Practice Information

Address
450 W STATE ROAD 434
STE 301
LONGWOOD, FL, 327505187
Browse FL providers · Browse ZIP 32750
Phone
4077678200
Fax
4077670476
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Cardiovascular Disease

Other Cardiovascular Disease Organizations in LONGWOOD, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.