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NPI Code Detail

MEDICARE: DR. MICHAEL B LONGLEY MD

MEDICARE: DR. MICHAEL B LONGLEY MD
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
1207P00000XEmergency Medicine PhysicianME94125FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129386OTHERFLBCBS OF FLORIDA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265487482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL B LONGLEY MD
Provider Business Mailing Address
First Line : 12479 TELECOM DR
Second Line :
City : TAMPA
State : FL
Zip : 33637-0913
Country : US
Telephone Number : 813-972-4199
Fax Number : 813-972-5753
Provider Business Practice Location Address
First Line : 2600 BRUCE B DOWNS BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-9207
Country : US
Telephone Number : 813-929-5000
Fax Number : 813-972-5753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 03/25/2014

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Directions to “ DR. MICHAEL B LONGLEY MD” Practice Location

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