MARY K LONG

JACKSONVILLE, FL
NPI1497840326
Former NameMARY K FALBO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA0003154)
Enumeration Date2006-10-04
Last Update Date2020-10-22
Business Address
MARY K LONG PA
2627 RIVERSIDE AVE STE 300
JACKSONVILLE, FL 32204-4717
Phone number: 904-634-0640
Mailing Address
MARY K LONG PA
6500 BOWDEN RD STE 103
JACKSONVILLE, FL 32216-8066
Phone number: 904-634-0640