Longendyke, Brian

Longendyke, Brian is an individual health care provider with primary practice located at 4790 Barkley Cir Bldg A, Ft Myers FL 33907-7543. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Longendyke, Brian can be contacted via phone (239) 275-8882.

Contact Information

Primary practice address
4790 Barkley Cir Bldg A Ft Myers FL 33907-7543
Phone: (239) 275-8882
Fax: (239) 275-6304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X FLOS0006673 Florida

Profile Details

NPI number 1811979511
LBN Legal business name Longendyke, Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Nov 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1811979511 NPPES
Florida Other 1811979511 TRICARE
Florida Other 205926 TRICARE
Florida MEDICAID 374229600 TRICARE
Florida Other 80842 TRICARE
Florida Other 9591507 TRICARE
Florida Other 100005455 TRICARE
Florida Other 0971761 TRICARE
Florida Other 1131942 TRICARE
Florida Other 4376307 TRICARE

Popular Providers