Blay Longevity

NPI #1124842299 in Pensacola, Florida

Provider Information

NPI Number: 1124842299
Entity Type: Organization
Organization Name: Blay Longevity
Primary Specialty: Internal Medicine
Enumeration Date: Nov 14, 2024
Last Updated: Nov 14, 2024

Practice Location

Address: 1010 N 12TH AVE STE 307
City: Pensacola
State: Florida
ZIP Code: 32501-3492
Phone: (407) 617-4361

Authorized Official

Name: NICOLE BLAY, APRN
Title: NURSE PRACTITIONER
Phone: (407) 617-4361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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