| Organization Name: | VINCENT B LONGOBARDO, DPM |
| NPI Number: | 1225025083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARYL J MESSER (PRACTICE MANAGER) |
| Mailing Address: | 19 Miracle Ln Suite 200 Crossville |
| State: | TN US |
| Postal Code: | 385557654 |
| Phone Number: | 9317078352 |
| Fax Number: | 9317078053 |
| NPI Enumeration Date: | 10/05/2005 |
| NPI Last Update Date: | 06/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | DPM0000000520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |