Deborah Longwill Do PA

NPI #1538111679 in Pinecrest, Florida

Provider Information

NPI Number: 1538111679
Entity Type: Organization
Organization Name: Deborah Longwill Do PA
Primary Specialty: Dermatology
Enumeration Date: May 17, 2006
Last Updated: Jul 10, 2008

Practice Location

Address: 7700 SW 104TH ST
City: Pinecrest
State: Florida
ZIP Code: 33156-3149
Phone: (305) 279-7546

Authorized Official

Name: DR. DEBORAH MICHELLE LONGWILL, D.O.
Title: PRESIDENT
Phone: (305) 279-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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