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1356317002
ROBERT LAWRENCE LONG
FORT WALTON BEACH, FL
NPI
1356317002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: FL ME0043999)
Enumeration Date
2006-02-23
Last Update Date
2016-12-08
Business Address
-- ROBERT LAWRENCE LONG M.D.
909 MAR WALT DR SUITE 1011
FORT WALTON BEACH, FL 32547-6635
Phone number: 850-863-3377
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Mailing Address
-- ROBERT LAWRENCE LONG M.D.
2234 COLONIAL BLVD MANAGED CARE DEPT
FORT MYERS, FL 33907-1412
Phone number: 239-931-7342
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