Longley, Michael B

Longley, Michael B is an individual health care provider with primary practice located at 2600 Bruce B Downs Blvd , Wesley Chapel FL 33544-9207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Longley, Michael B can be contacted via phone (813) 929-5000.

Contact Information

Primary practice address
2600 Bruce B Downs Blvd Wesley Chapel FL 33544-9207
Fax: (813) 972-5753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME94125 Florida

Profile Details

NPI number 1265487482
LBN Legal business name Longley, Michael B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Mar 25th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265487482 NPPES
Florida Other 29386 BCBS OF FLORIDA
Florida MEDICAID 274028100 BCBS OF FLORIDA

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