| Long Medical Llc | |
|
1172 Falls Blvd Weston FL 33327-1722 | |
| (305) 702-9441 | |
| (305) 702-9442 |
| Full Name | Long Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1172 Falls Blvd, Weston, Florida |
| Authorized Official Name and Position | Tanzeela Khan (MD) |
| Authorized Official Contact | 3057029441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Medical Llc 1172 Falls Blvd Weston FL 33327-1722 Ph: (305) 702-9441 | Long Medical Llc 1172 Falls Blvd Weston FL 33327-1722 Ph: (305) 702-9441 |
| NPI Number | 1528472768 |
|---|---|
| Provider Enumeration Date | 06/16/2014 |
| Last Update Date | 06/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528472768 | NPI | - | NPPES |
| 009468100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 116720 (ZZ) | Primary |
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