CARL EDWARD LONG

JACKSONVILLE, FL
NPI1871564815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence:   1053572)
Enumeration Date2006-01-28
Last Update Date2007-07-08
Business Address
Mr. CARL EDWARD LONG PA-C
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 912-573-4267
Mailing Address
Mr. CARL EDWARD LONG PA-C
1012 DRAKE FEATHER DR
ORANGE PARK, FL 32065-5209
Phone number: 904-625-7395
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