JOHN LONG

LAKELAND, FL
NPI1043028418
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  1218517)
Enumeration Date2024-12-18
Last Update Date2025-03-05
Business Address
JOHN LONG PA
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803-3639
Phone number: 863-666-3436
Mailing Address
JOHN LONG PA
2000 E EDGEWOOD DR STE 112
LAKELAND, FL 33803-3639
Phone number: 863-666-3436
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