| Blay Longevity | |
|
1010 N 12th Ave Ste 307 Pensacola FL 32501-3492 | |
| (407) 617-4361 | |
| Not Available |
| Full Name | Blay Longevity |
|---|---|
| Speciality | Internal Medicine |
| Location | 1010 N 12th Ave Ste 307, Pensacola, Florida |
| Authorized Official Name and Position | Nicole Blay (NURSE PRACTITIONER) |
| Authorized Official Contact | 4076174361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blay Longevity 1010 N 12th Ave Ste 307 Pensacola FL 32501-3492 Ph: (407) 617-4361 | Blay Longevity 1010 N 12th Ave Ste 307 Pensacola FL 32501-3492 Ph: (407) 617-4361 |
| NPI Number | 1124842299 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124842299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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