Organization Active NPI

Longevity Primary Care LLC

  • Primary Care Clinic/Center
  • Milton, FL
National Provider Identifier
1548154875
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LONGEVITY PRIMARY CARE LLC
Practice address
5845 Cindy LN
Milton, FL 32570-7725
Phone
(850) 530-3042
NPI assigned
Jun 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Mary Cole, DNP, APRN, FNP-CNPI 1861615288
Title
Owner/Nurse Practitioner
Phone
(850) 530-3042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5845 Cindy LN
Milton, FL 32570-7725

Mailing address

5845 Cindy LN
Milton, FL 32570-7725
Phone (850) 530-3042

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1548154875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 CINDY LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325707725",
            "telephone_number": "850-530-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 CINDY LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325707725",
            "telephone_number": "850-530-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "850-530-3042",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.