Search › Florida › 207Q00000X
Nicholas Longstreet, M.D
NPI 1245593623 · on the registry since 2012 · sole proprietor
Practice
- Address
- 340 Magnolia Cir
Tyndall Afb, FL 32403 - Phone
- (850) 283-7232
- Organisation at this address
- 325th Medical Group
325th Medgrp-TyndallInferred from a shared address, not stated in the registry. - Clinicians at this address
- 55
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida