OrganizationActive
Longevity Clinical Ltc Associates of Wisconsin, Sc
NPI 1346922143 · Geriatric Medicine (Family Medicine) Physician · Madison, WI
Provider details
- NPI number
- 1346922143
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Vincur, Practice Manager(561) 815-2427
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10 E Doty St Ste 800
Madison, WI 53703-5105
Phone: (608) 441-5700
Approximate (ZIP-level) locationGet directions
Mailing address
11780 US Highway 1 Ste N107
North Palm Beach, FL 33408-3007
Registry dates
- Enumerated
- 2023-08-02
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.