person
Mr. Carl Edward Long JR., PA-C
Medical Physician Assistant in Jacksonville, Florida
NPI 1871564815

Carl Edward Long JR. is a Medical Physician Assistant based in Orange Park, FL and is specialized in Medical. Carl Edward Long JR. practices in Jacksonville, FL and has the professional credentials of PA-C. The NPI Number for Carl Edward Long JR. is 1871564815 and holds a License No. 1053572 (Florida).

The current practice location address for Carl Edward Long JR. is 2080 Child St, Jacksonville, FL and can be reached out via phone at 912-573-4267.

Location: 2080 Child St, Jacksonville, FL, 32065-5209
person
Provider Profile Details
NPI Number
1871564815
Provider Name
Carl Edward Long JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2080 Child St, Jacksonville, FL, 32065-5209
Phone Number
912-573-4267
Fax Number
Provider Enumeration Date
01/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2080 Child St
City
State
Zip
32214-5005
Phone Number
912-573-4267
Fax Number
person
Provider Business Mailing Address Details
Address
2080 Child St
City
State
Zip
32214-5005
Phone Number
912-573-4267
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1053572 ()
Definition
Definition to come...
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