Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longwood Family Medicine PA

Organization Family Medicine Physician · NPI 1073529442

Longwood Family Medicine PA is a Family Medicine Physician in Longwood, Florida. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

515 W State Road 434 Ste 301
Longwood, FL 32750-4981
Phone: (407) 786-0004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1073529442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Virgil Dawson — President · (407) 786-0004
NPI enumeratedJuly 31, 2006
Last updated in NPPESAugust 26, 2011
Mailing address515 W State Road 434, Suite 301, Longwood, FL 32750-4981

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