LONGEVITY CLINICAL LTC ASSOCIATES OF FLORIDA PLLC
NPI 1639743750
Nurse Practitioner - Primary Care in Lauderhill, FL

Q: What is Longevity Clinical Ltc Associates Of Florida PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Active since May 13, 2021

4300 ROCK ISLAND RD, LAUDERHILL, FL 33319(954) 485-6144 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Longevity Clinical Ltc Associates Of Florida Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGEVITY CLINICAL LTC ASSOCIATES OF FLORIDA PLLC (NPI 1639743750) is a healthcare organization registered as a primary care in Lauderhill, Florida and active in the NPI registry since May 2021. The organization lists Diane Vincur, Clinical Support Talent Specialist, as its authorized official.

NPPES Registry Identity

NPI1639743750

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameLONGEVITY CLINICAL LTC ASSOCIATES OF FLORIDA PLLC

Location Address4300 ROCK ISLAND RDLauderhill, FL 33319-4528

Mailing Address11770 Us 1Palm Beach Gardens, FL 33408-3027 · (561) 815-2427

Phone(954) 485-6144

Organization SubpartNo

Authorized OfficialDiane VincurClinical Support Talent Specialist · (561) 815-2427

Enumeration DateMay 13, 2021

Last NPPES UpdateMay 14, 2021

NPPES CertifiedMay 14, 2021

✔ NPI 1639743750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X

4300 ROCK ISLAND RD, Lauderhill, FL 33319

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE RUIZ MINA M.D.

Physical Medicine & Rehabilitation

4300 ROCK ISLAND RD
LAUDERHILL, FL 33319

Broward County (954) 485-6144

INVERRARY MEDICAL INVESTORS, LLC

Skilled Nursing Facility

4300 ROCK ISLAND RD
LAUDERHILL, FL 33319

Broward County (954) 485-6144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Longevity Clinical Ltc Associates Of Florida PLLC's NPI number?

The NPI number for Longevity Clinical Ltc Associates Of Florida PLLC is 1639743750. It was assigned to this organization in the NPPES registry on May 13, 2021.

Where is Longevity Clinical Ltc Associates Of Florida PLLC located?

Longevity Clinical Ltc Associates Of Florida PLLC is located at 4300 Rock Island Rd, Lauderhill, FL 33319. The listed phone number is (954) 485-6144.

What is Longevity Clinical Ltc Associates Of Florida PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Longevity Clinical Ltc Associates Of Florida PLLC was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.