GABRIEL LONG

PORT RICHEY, FL
NPI1952020869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-08-24
Last Update Date2022-08-24
Business Address
GABRIEL LONG
9550 US HIGHWAY 19 STE 202
PORT RICHEY, FL 34668-4648
Phone number: 727-494-7609
Mailing Address
GABRIEL LONG
11114 YELLOWWOOD LN
PORT RICHEY, FL 34668-2340
Phone number: 352-346-0729