Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Longwood Family Medicine PA

Organization Family Medicine Physician · NPI 1073529442

Longwood Family Medicine PA provides Family Medicine Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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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