| Longevity Primary Care LLC | |
|
5845 Cindy Ln Milton FL 32570-7725 | |
| (850) 530-3042 | |
| Not Available |
| Full Name | Longevity Primary Care LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5845 Cindy Ln, Milton, Florida |
| Authorized Official Name and Position | Michelle Mary Cole (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 8505303042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Primary Care LLC 5845 Cindy Ln Milton FL 32570-7725 Ph: (850) 530-3042 | Longevity Primary Care LLC 5845 Cindy Ln Milton FL 32570-7725 Ph: (850) 530-3042 |
| NPI Number | 1548154875 |
|---|---|
| Provider Enumeration Date | 06/03/2025 |
| Last Update Date | 06/03/2025 |
| Certification Date | 06/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548154875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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