RICHARD PRESTON LONGLEY

SEMINOLE, FL
NPI1689883613
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: FL  PA3041)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Mr. RICHARD PRESTON LONGLEY PA
9874 INDIAN KEY TRL
SEMINOLE, FL 33776-1073
Phone number: 727-517-7733
Mailing Address
Mr. RICHARD PRESTON LONGLEY PA
9874 INDIAN KEY TRL
SEMINOLE, FL 33776-1073
Phone number:
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