JOHN CHARLES LONG

ORMOND BEACH, FL
NPI1356351043
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: FL  ME0068137)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
Dr. JOHN CHARLES LONG MD
155 N NOVA RD
ORMOND BEACH, FL 32174-5138
Phone number: 386-672-3111
Mailing Address
Dr. JOHN CHARLES LONG MD
155 N NOVA RD
ORMOND BEACH, FL 32174-5138
Phone number: 386-672-3111
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