MEDICARE: JANE LONGARES, MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1518719012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANE LONGARES, MD PLLC

Provider Business Mailing Address
First Line	:	7301A W PALMETTO PARK RD STE 306A
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3466
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301A W PALMETTO PARK RD STE 306A
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3466
Country	:	US
Telephone Number	:	561-571-0404
Fax Number	:	561-462-0859

Authorized Official
Title or Position	:	OWNER
Name	:	JANE ELPEDES LONGARES
Credential	:
Telephone Number	:	209-647-9828

Provider Enumeration Date	:	04/05/2024
Last Update Date	:	05/27/2024

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