MARISA ELAINE LONG

JACKSONVILLE, FL
NPI1346848173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA9113569)
Enumeration Date2020-10-14
Last Update Date2020-11-25
Business Address
MARISA ELAINE LONG PA-C
836 PRUDENTIAL DR STE 1001
JACKSONVILLE, FL 32207-8337
Phone number: 904-398-0033
Mailing Address
MARISA ELAINE LONG PA-C
11945 SAN JOSE BLVD STE 300
JACKSONVILLE, FL 32223-1627
Phone number: 904-396-1725
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