Organization · NPI-2

James Phillip Long Dpm PA

Podiatrist · Dunedin, FL

NPI number1891960647
StatusActive
Last updated in NPPESApr 23, 2008

Details

NPI
1891960647
Entity type
Organization (NPI-2)
Legal business name
James Phillip Long Dpm PA
Organization subpart
No
Enumeration date
Apr 23, 2008
Last updated
Apr 23, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X PodiatristPO 601FLYes

Practice location

210 Patricia Ave
Dunedin, FL 34698-8124

Phone 727-736-6741 · Fax 727-733-6965

Mailing address

210 Patricia Ave
Dunedin, FL 34698-8124

Phone 727-736-6741 · Fax 727-733-6965

Authorized official

James Phillip Long
Doctor
7277366741

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