person
Mr. James Eldon Long SR., PA-C
Medical Physician Assistant in Williston, Florida
NPI 1124165626

James Eldon Long SR. is a Medical Physician Assistant based in Williston, FL and is specialized in Medical. James Eldon Long SR. practices in Williston, FL and has the professional credentials of PA-C. The NPI Number for James Eldon Long SR. is 1124165626 and holds a License No. PA2538 (Florida).

The current practice location address for James Eldon Long SR. is 300A Nw 1St Ave, Williston, FL and can be reached out via phone at 352-529-0966 and via fax at 352-529-0967.

Location: 300A Nw 1St Ave, Williston, FL, 32696-6262
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Provider Profile Details
NPI Number
1124165626
Provider Name
James Eldon Long SR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
300A Nw 1St Ave, Williston, FL, 32696-6262
Phone Number
352-529-0966
Fax Number
352-529-0967
Provider Enumeration Date
01/31/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y09KU 01 FL BCBS
004428900 05 FL
institution
Provider Business Practice Location Address Details
Address
300A Nw 1St Ave
City
State
Zip
32696-2006
Phone Number
352-529-0966
Fax Number
352-529-0967
person
Provider Business Mailing Address Details
Address
300A Nw 1St Ave
City
State
Zip
32696-2006
Phone Number
352-529-0966
Fax Number
352-529-0967
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2538 (Florida)
Definition
Definition to come...
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