MEDICARE: MALIENA MICHI LONGLEY M.D.

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	207K00000X	Allergy & Immunology Physician	73221	CT
2	207K00000X	Allergy & Immunology Physician	ME102587	FL

General Provider Information

NPI Number	:	1619165743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALIENA MICHI LONGLEY M.D.

Provider Business Mailing Address
First Line	:	5804 CRUISER WAY
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4215
Country	:	US
Telephone Number	:	813-494-4545
Fax Number	:

Provider Business Practice Location Address
First Line	:	14105 MCCORMICK DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-3019
Country	:	US
Telephone Number	:	813-873-1177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2007
Last Update Date	:	06/12/2023

Similar Medicare Providers

1033593322 — MS. JENNIFER PARDEE VINALON APRN
Practice Location Address:

14105 MCCORMICK DR
TAMPA, FL
33626-3019

Practice Phone: 727-601-4513
Practice Fax:

1023581436 — JENNA LEIGH TILLETT APRN
Practice Location Address:

14105 MCCORMICK DR # NA
TAMPA, FL
33626-3019

Practice Phone: 813-481-0064
Practice Fax:

1801403068 — MRS. KRYSTAL G SOLIE APRN
Practice Location Address:

14105 MCCORMICK DR
TAMPA, FL
33626-3019

Practice Phone: 813-381-5672
Practice Fax:

1265026975 — MD HEALTH RX SOLUTIONS, LLC
Practice Location Address:

14105 MCCORMICK DR
TAMPA, FL
33626-3019

Practice Phone: 727-601-4513
Practice Fax:

1679032379 — 5 STAR CARES, INC
Practice Location Address:

1101 RAY CHARLES BLVD UNIT 1505
TAMPA, FL
33602-3019

Practice Phone: 813-458-7553
Practice Fax:

1174118897 — NORTH BAY HOME HEALTH SUPPORTS
Practice Location Address:

1101 RAY CHARLES BLVD UNIT 1505
TAMPA, FL
33602-3019

Practice Phone: 336-926-0133
Practice Fax: 888-965-9978

Directions to “ MALIENA MICHI LONGLEY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.