Richard Longstreet
Richard Longstreet is a Developmental Disabilities Clinic/Center in Tampa, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
7369 Bonita Vista Way Apt 202Tampa, FL 33617-8697
Phone: (813) 765-4080
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Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1669169918 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2023 |
| Last updated in NPPES | April 18, 2023 |
| Certification date | April 18, 2023 |
| Mailing address | 7369 Bonita Vista Way Apt 202, Tampa, FL 33617-8697 |
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