Provider Demographics
NPI:1235391277
Name:LONGLEY, SONYA FELICIA
Entity Type:Individual
Prefix:MS
First Name:SONYA
Middle Name:FELICIA
Last Name:LONGLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11717 NW 22ND AVE
Mailing Address - Street 2:APT 401
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-3078
Mailing Address - Country:US
Mailing Address - Phone:305-685-8026
Mailing Address - Fax:
Practice Address - Street 1:1201 NW 16TH STREET 12TH FLOOR
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125
Practice Address - Country:US
Practice Address - Phone:305-575-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9237518163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical