| Organization Name: | LONGLEAF PEDIATRICS PA |
| NPI Number: | 1114310851 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VALERIE CELESTE BURNS (PEDIATRICIAN/OWNER) |
| Mailing Address: | 103 Birch Ave Orange City |
| State: | FL US |
| Postal Code: | 327637003 |
| Phone Number: | 3865320800 |
| Fax Number: | 3865327005 |
| NPI Enumeration Date: | 03/05/2015 |
| NPI Last Update Date: | 03/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 255837800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |