Custom Longevity PA
Custom Longevity PA is an Internal Medicine Physician in Naples, Florida. Registered with an NPI since 2018.
- In the registry since
- 2018
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4005 Gulf Shore Blvd N Apt 402Naples, FL 34103-3433
Phone: (917) 292-8074
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|
Record details
| NPI number | 1306312731 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Svetlana Kogan — Owner · (917) 292-8074 |
| NPI enumerated | October 24, 2018 |
| Last updated in NPPES | October 24, 2018 |
| Mailing address | 4005 Gulf Shore Blvd N Apt 402, Naples, FL 34103-3433 |
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