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Kyle Douglas Long, DO
General Practice Physician in Jacksonville, Florida
NPI 1508451428

Kyle Douglas Long is a General Practice Physician based in Jacksonville, FL. Kyle Douglas Long practices in Jacksonville, FL and has the professional credentials of DO. The NPI Number for Kyle Douglas Long is 1508451428 and holds a License No. 0102207472 (Florida).

The current practice location address for Kyle Douglas Long is 2080 Child St Dept 5000, Jacksonville, FL and can be reached out via phone at 904-542-7300.

Location: 2080 Child St Dept 5000, Jacksonville, FL, 32214-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508451428
Provider Name
Kyle Douglas Long
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2080 Child St Dept 5000, Jacksonville, FL, 32214-5000
Phone Number
904-542-7300
Fax Number
Provider Enumeration Date
03/03/2021
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
2080 Child St Dept 5000
City
Jacksonville
State
Florida
Zip
32214-2575
Phone Number
904-542-7300
Fax Number
person
Provider Business Mailing Address Details
Address
2080 Child St Dept 5000
City
Jacksonville
State
Florida
Zip
32214-2575
Phone Number
904-542-7300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0102207472 (Virginia)
Definition
Definition to come...
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